Coppola And Dorman Psc

NPI 1083731277 - Otolaryngology - 207Y00000X

NPI Details
NPI 1083731277
Enumeration Date 03/23/2007
Last Updated 12/12/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name CARL DAVID CARL
Position OWNER
Phone (502) 893-3683
Fax
Practice Location
3950 KRESGE WAY
SUITE 402
LOUISVILLE KY, 40207-4637, US
Phone (502) 893-3683
Fax
Business Location
3950 KRESGE WAY
SUITE 402
LOUISVILLE KY, 40207-4637, US
Phone (502) 893-3683
Fax
Toxanomy
Taxonomy Code 207Y00000X
License State Kentucky
License Number 28995
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According to our database, Coppola And Dorman Psc NPI is 1083731277, taxonomy code is 207Y00000X and license number is 28995, license state is located at Kentucky. Coppola And Dorman Psc physically located at 3950 Kresge Way, Louisville KY, 40207-4637. NPI Number 1033115704 has the healthcare provider type.

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1083731277 NPI number is provided on an as is basis without warranty of any kind. 1083731277 is maintained by the National Plan & Provider Enumeration System. The contents of Coppola And Dorman Psc are for informational purposes only.