Organization
DAVID A. ESCALANTE, MD
Active
Parent organization
DAVID A. ESCALANTE, MD
Other names
BONE DENSITOMETRY
Organization subpart
Yes
Provider details
NPI number
Legal business name
DAVID A. ESCALANTE, MD
Authorized official
DR. DAVID A ESCALANTE MD (OWNER)
(606) 242-2196
Entity
Organization
Contact information
Practice address
1632 CUMBERLAND AVE, MIDDLESBORO, KY 40965-1378
(606) 242-2196
(606) 242-2586
Mailing address
PO BOX 1795, MIDDLESBORO, KY 40965-3795
(606) 242-2196
(606) 242-2586
Taxonomy
Speciality
Code
Description
License number
State
2471B0102X
Bone Densitometry Radiologic Technologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000053979
ANTHEM
KY
01
—
110182661
RRMEDICARE
KY
01
—
1529202
UMWA
KY
05
—
65933350
—
KY
Enumeration date
03/18/2008
Last updated
06/20/2008
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