Organization
MOUNTAIN FAMILY MEDICINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN DANIELS DO (OWNER/PHYSICIAN)
(606) 432-0191
Entity
Organization
Contact information
Practice address
5425 N MAYO TRL STE 201, PIKEVILLE, KY 41501-2965
(606) 432-0191
Mailing address
5425 N MAYO TRL STE 201, PIKEVILLE, KY 41501-2965
(606) 432-0191
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
Other
Enumeration date
02/13/2019
Last updated
10/11/2021
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