Jonathan S Sagum MD

NPI 1629236658 - Internal Medicine - 207RE0101X

NPI Details
NPI 1629236658
Gender Male
Enumeration Date 05/27/2008
Last Updated 06/25/2015
Entity Type Individual
Active Over 8 years ago
Practice Location
2355 POPLAR LEVEL RD
SUITE 301
LOUISVILLE KY, 40217-1395, US
Phone (502) 636-0406
Fax (502) 636-5137
Business Location
660 S EUCLID AVE
C B 8058
SAINT LOUIS MO, 63110-1010, US
Phone (314) 362-1700
Fax (314) 362-9878
Toxanomy
Taxonomy Code 207RE0101X
License State Kentucky
License Number 40830
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According to our database, Dr. Jonathan S Sagum MD NPI is 1629236658, taxonomy code is 207RE0101X and license number is 40830, license state is located at Kentucky. Jonathan S Sagum MD physically located at 2355 Poplar Level Rd, Louisville KY, 40217-1395. NPI Number Jonathan S Sagum MD has the Individual type.

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1629236658 NPI number is provided on an as is basis without warranty of any kind. 1629236658 is maintained by the National Plan & Provider Enumeration System. The contents of Jonathan S Sagum MD are for informational purposes only.