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General NPI Number Information
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NPI Number | 1366448664
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Entity Type | Individual
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Provider Name | WILLIAM JOSEPH JOHN MD
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Gender | Male
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Dates
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Enumeration Date | 06/22/2005
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 789 EASTERN BYP STE 25
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City | RICHMOND
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State | KY
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Zip | 40475-2421
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Country | US
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Telephone | 859-623-1390
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Fax | 859-625-0387
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Provider Business Mailing Address
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Address Line | 216 SOUTHTOWN DR
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City | DANVILLE
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State | KY
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Zip | 40422-2534
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Country | US
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Telephone | 859-236-2203
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Fax | 859-236-9446
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 22113
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License Number State | KY
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