Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 54100 | KY |
N | 208600000X | Surgeon | 54100 | KY |
Y | 2082S0105X | Plastic Hand Surgeon | 54100 | KY |
NPI | 1366885675 |
---|---|
Provider Name | Dr. Morgan Brgoch |
First Address | Hershey, PA 17033-2360 |
Second Address | Lexington, KY 40536-0284 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/04/2013 |
Last Update Date | 13/08/2020 |