Organization
DANVILLE SURGICAL ASSOCIATES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNE SHANNON BECKER (OFFICE MANAGER)
(859) 236-0712
Entity
Organization
Contact information
Practice address
210 W MAIN ST, DANVILLE, KY 40422-1812
(859) 236-0712
(859) 236-7858
Mailing address
210 W MAIN ST, DANVILLE, KY 40422-1812
(859) 236-0712
(859) 236-7858
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
24455
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64244551
—
KY
Enumeration date
05/12/2006
Last updated
08/23/2011
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