Individual provider · Type 1 NPI

Roger E. Ordal, CSA

Surgical Physician Assistant · Madisonville, KY

NPI number 1366635963 Active

Practice location

200 Clinic Dr
Madisonville, KY 42431-1661

Fax (270) 326-6118

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XSA026 (KY)

Surgical Physician Assistant: Definition to come...

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About NPI 1366635963

Roger E. Ordal, CSA's National Provider Identifier is 1366635963, issued on Aug 27, 2007. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Madisonville, KY. The record was last updated on Aug 27, 2007.