Organization
CLARK RADIOLOGY, PLLC
Active
Organization
CLARK RADIOLOGY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN HOMER MCQUAIDE M.D. (PRESIDENT)
(502) 226-3858
Entity
Organization
Contact information
Practice address
1107 W LEXINGTON AVE, WINCHESTER, KY 40391-1169
(502) 226-3858
(502) 223-9829
Mailing address
PO BOX 1820, FRANKFORT, KY 40602-1820
(502) 226-3858
(502) 223-9829
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
28886
KY
Other
Enumeration date
09/24/2008
Last updated
09/24/2008
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