| Mark P Caruso Md | |
|
713 Broadway St Suite 203 Paintsville KY 41240-1465 | |
| (606) 789-4949 | |
| Not Available |
| Full Name | Mark P Caruso Md |
|---|---|
| Speciality | Internal Medicine |
| Location | 713 Broadway St, Paintsville, Kentucky |
| Authorized Official Name and Position | Rebecca L Stephens (OFFICE MANAGER) |
| Authorized Official Contact | 6067894949 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mark P Caruso Md 713 Broadway St Suite 203 Paintsville KY 41240-1465 Ph: (606) 789-4949 | Mark P Caruso Md 713 Broadway St Suite 203 Paintsville KY 41240-1465 Ph: (606) 789-4949 |
| NPI Number | 1821416454 |
|---|---|
| Provider Enumeration Date | 04/01/2014 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821416454 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 26513 (Kentucky) | Primary |
| 363A00000X | Physician Assistant | PA804 (Kentucky) | Secondary |
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