Mark a Risen, Dpm,

NPI #1154346948 in Campbellsville, Kentucky

Provider Information

NPI Number: 1154346948
Entity Type: Organization
Organization Name: Mark a Risen, Dpm,
Primary Specialty: Podiatrist
Enumeration Date: Jul 13, 2006
Last Updated: Sep 1, 2017

Practice Location

Address: 1003 OLD GREENSBURG RD
City: Campbellsville
State: Kentucky
ZIP Code: 42718-2571
Phone: (270) 789-4342

Authorized Official

Name: DR. MARK A RISEN, DPM.
Title: OWNER
Phone: (270) 789-4342

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Durable Medical Equipment & Medical Supplies	332B00000X
Podiatrist	213E00000X	Primary

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