Deer Park Family Doctors Pllc | |
1603 Stevens Ave Louisville KY 40205-1042 | |
(502) 451-5955 | |
(502) 451-5925 |
Full Name | Deer Park Family Doctors Pllc |
---|---|
Speciality | Family Medicine |
Location | 1603 Stevens Ave, Louisville, Kentucky |
Authorized Official Name and Position | Steven Roszell (PHYSICIAN PARTNER) |
Authorized Official Contact | 5024515955 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Deer Park Family Doctors Pllc 1603 Stevens Ave Louisville KY 40205-1042 Ph: (502) 451-5955 | Deer Park Family Doctors Pllc 1603 Stevens Ave Louisville KY 40205-1042 Ph: (502) 451-5955 |
NPI Number | 1033265731 |
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Provider Enumeration Date | 01/26/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1033265731 | NPI | - | NPPES |
65939753 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 37462 (Kentucky) | Primary |
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