Organization
CORBIN RADIOLOGY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM T DANIEL II M.D. (PRESIDENT)
(606) 523-1042
Entity
Organization
Contact information
Practice address
1 TRILLIUM WAY, CORBIN, KY 40701-8426
(606) 528-1212
Mailing address
PO BOX 1466, CORBIN, KY 40702-1466
(606) 523-1042
(859) 223-2732
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65905218
—
KY
Enumeration date
09/25/2006
Last updated
12/12/2007
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