Mark Otis Catron, PAC Valid NPI
Individual provider · Medical Physician Assistant · Berea, KY
- NPI
- 1811933989
- Type
- Individual (Type 1)
- Primary specialty
- Medical Physician Assistant (Physician Assistant)
- Specialty group
- Physician Assistants & Advanced Practice Nursing Providers
- Taxonomy code
- 363AM0700X
- License number
- PA144 (KY)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2006-06-20
- Last updated
- 2014-03-26
Practice location
133 Plaza Dr Ste 3
Berea, KY 40403-2087
(859) 986-1370