# MOUNTAIN FAMILY MEDICINE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073079273
- **Authorized official:** DR. BRIAN DANIELS DO (OWNER/PHYSICIAN)
- **Authorized official phone:** (606) 432-0191

## Contact information

- **Practice address:** 5425 N MAYO TRL STE 201, PIKEVILLE, KY 41501-2965
- **Practice address phone:** (606) 432-0191
- **Mailing address:** 5425 N MAYO TRL STE 201, PIKEVILLE, KY 41501-2965
- **Mailing address phone:** (606) 432-0191

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363A00000X | Physician Assistant | — | — | — |

## Other

- **Enumeration date:** 02/13/2019
- **Last updated:** 10/11/2021