Doctor Name: | DR. JOSEPH M. DAI |
NPI Number: | 1831355700 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 15264 |
Business Practice Address: | 289 Ireland Ave Medical Specialties Clinic, Dermatology Fort Knox, KY - 401215111 |
Business Phone Number: | 5026249192 |
Business Fax Number: | 5026240376 |
Mailing Address: | 289 Ireland Ave, Medical Specialties Clinic, Dermatology FORT KNOX |
State: | KY |
Postal Code: | 401215111 |
Phone Number: | 5026249192 |
Fax Number: | 5026240376 |
NPI Enumeration Date: | 07/31/2008 |
NPI Last Update Date: | 08/20/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 15264 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | HI |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |