Organization
PHYSICIANS IMAGING PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT B DAVIS MD (PRESIDENT)
(606) 368-9451
Entity
Organization
Contact information
Practice address
2483 HIGHWAY, 644, LOUISA, KY 41230
(606) 638-9451
Mailing address
PO BOX 1006, ASHLAND, KY 41105-1006
(866) 494-8267
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000369658
ANTHEM
KY
01
—
000000369658
ATHEM
OH
01
—
001799254
MSBCBS
WV
05
—
2628973
—
OH
05
—
2633207
—
OH
05
—
2642742
—
OH
05
—
3810004359
—
WV
05
—
3810004587
—
WV
05
—
3810004784
—
WV
05
—
65944258
—
KY
Enumeration date
01/25/2006
Last updated
04/16/2009
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