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Individual

MR. FRANK DANIEL MONGIARDO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
200 MEDICAL CTR. DR., STE. 2N, HAZARD, KY 41701-9466
(606) 439-4466
(606) 439-1941
Mailing address
200 MEDICAL CENTER DR, STE. 2N, HAZARD, KY 41701-9466
(606) 439-4466
(606) 439-1941

Taxonomy

Speciality
Code
Description
License number
State
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
25357
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
64253578
KY
Enumeration date
11/13/2006
Last updated
07/08/2007
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