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Individual

GREGORY TIU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
81 BALL PARK RD, HARLAN, KY 40831-1701
(606) 573-8100
(606) 574-9995
Mailing address
PO BOX 360, GRAYS KNOB, KY 40829-0360
(606) 573-2398
(606) 574-9995

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
25546
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
64255466
KY
Enumeration date
06/30/2006
Last updated
04/10/2008
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