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Individual

DR. WILLIAM JOSEPH JOHN

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
789 EASTERN BYP, STE 25, RICHMOND, KY 40475-2421
(859) 623-1390
(859) 625-0387
Mailing address
216 SOUTHTOWN DR, DANVILLE, KY 40422-2534
(859) 236-2203
(859) 236-9446

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
22113
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000356642
ANTHEM BC/BS
KY
01
50005915
PASSPORT
KY
05
64221138
KY
01
C66175
BLUEGRASS FAMILY HEALTH
KY
01
P00181466
RAILROAD MEDICARE
KY
Enumeration date
06/22/2005
Last updated
07/09/2007
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