Organization Name: | DAVID A. ESCALANTE, MD |
NPI Number: | 1477724482 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DAVID A ESCALANTE (OWNER) |
Mailing Address: | 1632 Cumberland Ave Middlesboro |
State: | KY US |
Postal Code: | 409651378 |
Phone Number: | 6062422196 |
Fax Number: | 6062422586 |
NPI Enumeration Date: | 03/18/2008 |
NPI Last Update Date: | 06/20/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2471B0102X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
Taxonomy Classification: | Radiologic Technologist |
Taxonomy Specialization: | Bone Densitometry |
Taxonomy Definition: |