CLIFTON M TATUM JR. MD

DIAGNOSTIC IMAGING ALLIANCE OF LOUISVILLE PSC

Dr CLIFTON M TATUM JR. MD is a male medical professional, specializing in Interventional Radiology. He graduated in 1983 from University Of Louisville School Of Medicine.

Contact

DIAGNOSTIC IMAGING ALLIANCE OF LOUISVILLE PSC

200 E CHESTNUT ST
LOUISVILLE
KY
402021831

Tel: 5026297601

CLIFTON M TATUM JR. MD Information

Npi 1366440687
Pac Id 7911810148
Professional Enrollment Id I20031112000436
Last Name TATUM
First Name CLIFTON
Middle Name M
Suffix JR.
Gender M
Credential MD
Medical School Name UNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE
Graduation Year 1983
Primary Specialty INTERVENTIONAL RADIOLOGY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name DIAGNOSTIC IMAGING ALLIANCE OF LOUISVILLE PSC
Group Practice Pac Id 1951214220
Number Of Group Practice Members 21
Line 1 Street Address 200 E CHESTNUT ST
Line 2 Street Address
Marker Of Address Line 2 Suppression
City LOUISVILLE
State KY
Zip Code 402021831
Phone Number 5026297601
Hospital Affiliation Ccn 1 180088
Hospital Affiliation Lbn 1 NORTON HOSPITALS, INC
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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