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Individual

DR. FRANCIS M DOMURAT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1 TRILLIUM WAY, BAPTIST HEALTH CANCER CENTER, CORBIN, KY 40701-8727
(606) 523-1934
(606) 523-1982
Mailing address
PO BOX 1410, CORBIN, KY 40702-1410
(954) 235-2325
(888) 471-7728

Taxonomy

Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
45134
KY
207RX0202X
Medical Oncology Physician
ME 100326
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100195430
KY
01
K037680
MEDICARE PTAN
KY
05
MD4172
AK
01
P01074854
RAILROAD MEDICARE PTAN
KY
Enumeration date
08/17/2005
Last updated
12/31/2014
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