Organization
CORNERSTONE PEDIATRIC SURGERY, PSC
Active
Organization
CORNERSTONE PEDIATRIC SURGERY, PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL A BEALS MD (OWNER)
(859) 224-0801
Entity
Organization
Contact information
Practice address
535 WELLINGTON WAY, LEXINGTON, KY 40503-1385
(859) 224-0801
(859) 224-0899
Mailing address
535 WELLINGTON WAY, LEXINGTON, KY 40503-1385
(859) 224-0801
(859) 224-0899
Taxonomy
Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
Primary
35969
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000539897
ANTHEM
KY
Enumeration date
06/13/2007
Last updated
05/21/2008
Update your record
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