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Physicians Radiology Radiation Oncology

Provider NPI: 1598783847

Provider Information:
Gender: M
Not Sole Proprietor

Practice Location:
800 ROSE ST  LEXINGTON, KY 40536-0001 US
Tel: 859-257-7910  Fax: 859-257-7899

Business Mailing Address:
Tel: 859-257-7910  Fax: --

NPI Information:
NPI: 1598783847
Entity Type: Individual


PrimaryCodeCategory/DescriptionStateLicense Number
Radiation Oncology

Other Provider Identifiers:


American Medical Association 2012 taxonomy code information

Code: 2085R0001X





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