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Individual

DAILEY MCPEAK

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1507 BRAVO BLVD, GLASGOW, KY 42141-3478
(270) 651-2181
(270) 651-2183
Mailing address
1507 BRAVO BLVD, GLASGOW, KY 42141-3478
(270) 651-2181
(270) 651-2183

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
15150
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
64151509
KY
Enumeration date
10/25/2005
Last updated
07/08/2007
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