Mark Cassol MD Psc

NPI #1003071200 in Louisville, Kentucky

Provider Information

NPI Number: 1003071200
Entity Type: Organization
Organization Name: Mark Cassol MD Psc
Primary Specialty: Ophthalmology
Enumeration Date: Jul 28, 2008
Last Updated: Jul 28, 2008

Practice Location

Address: 2600 W. BROADWAY, SUITE 105
City: Louisville
State: Kentucky
ZIP Code: 40211
Phone: (502) 772-3625

Authorized Official

Name: MARK CASSOL, MD
Title: OPHTHALMOLOGIST
Phone: (502) 759-2765

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X	Primary

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