Organization
PIKEVILLE RADIOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEXANDER POULOS M.D. (MEMBER)
(606) 432-1357
Entity
Organization
Contact information
Practice address
387 TOWN MOUNTAIN RD, SUITE 106, PIKEVILLE, KY 41501-1640
(606) 432-9094
(606) 432-1832
Mailing address
PO BOX 2648, PIKEVILLE, KY 41502-2648
(606) 432-1357
(606) 432-2457
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0958131
UMWA
KY
05
—
65932626
—
KY
Enumeration date
11/07/2007
Last updated
11/07/2007
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