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Individual

DAVID B. PRICE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
90 JACKSON PIKE, GALLIPOLIS, OH 45631-1560
(740) 446-5289
(740) 446-5697
Mailing address
90 JACKSON PIKE, GALLIPOLIS, OH 45631-1560
(740) 446-5289
(740) 446-5697

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
34-00-2831
OH
2085R0202X
Diagnostic Radiology Physician
722
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000006631
ANTHEM BCBS
01
000000190817
UNISON MEDICAID
OH
01
001714059
MOUNTAIN STATE BCBS
05
0121414000
WV
01
0512234
MOLINA MEDICAID
OH
01
300028176
RR MEDICARE
Enumeration date
06/08/2006
Last updated
02/06/2015
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