Individual
DR. DAVID H NATHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
221 NE GLEN OAK AVE, RADIOLOGY DEPT, PEORIA, IL 61636-0001
(765) 446-4819
Mailing address
221 NE GLEN OAK AVE, PEORIA, IL 61636-0001
(765) 466-4819
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
036113078
IL
Other
Enumeration date
05/15/2006
Last updated
03/06/2019
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