Organization
FRG KENTUCKY PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDON CHAN MD (PRESIDENT)
(412) 223-2272
Entity
Organization
Contact information
Practice address
850 RIVERVIEW RD, PINEVILLE, KY 40977-1430
(606) 337-3051
Mailing address
PO BOX 60, PITTSBURGH, PA 15230-0060
(412) 937-5726
(412) 937-5706
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
07/14/2008
Last updated
07/14/2008
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