Organization
X-RAY ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FREDERIC C PARK MD (PRESIDENT MEMBER)
(270) 685-5165
Entity
Organization
Contact information
Practice address
1211 N MAIN ST, OHIO COUNTY HOSPITAL, HARTFORD, KY 42347
(270) 685-5165
(270) 683-0256
Mailing address
PO BOX 807, X-RAY ASSOCIATES, OWENSBORO, KY 42302-0807
(270) 685-5165
(270) 683-0256
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4355
BCBS
—
05
—
65909160
—
KY
Enumeration date
09/12/2006
Last updated
10/11/2007
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