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Individual
DR. WILLIAM CRAIG TYREE
Active
Individual
DR. WILLIAM CRAIG TYREE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
34721
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000364528
ANTHEM INDIVIDUAL PIN NUM
KY
05
—
64047186
—
KY
Enumeration date
07/19/2005
Last updated
05/21/2012
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