# RICHARD H DUBOU MD PSC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164746095
- **Authorized official:** DR. RICHARD H DUBOU MD (OWNER)
- **Authorized official phone:** (502) 933-1100

## Contact information

- **Practice address:** 9702 STONESTREET RD, 304, LOUISVILLE, KY 40272-2860
- **Practice address phone:** (502) 933-1100
- **Practice address fax:** (502) 933-1153
- **Mailing address:** 9702 STONESTREET RD, 304, LOUISVILLE, KY 40272-2860
- **Mailing address phone:** (502) 933-1100
- **Mailing address fax:** (502) 933-1153

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0105X | Surgery of the Hand (Surgery) Physician | 01065446A | IN | Yes |

## Other

- **Enumeration date:** 03/22/2010
- **Last updated:** 03/01/2012