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Individual

DR. CRAIG H DOUGLAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3810 SPRINGHURST BLVD # 100, MERIDIAN BUILDING, LOUISVILLE, KY 40241-6100
(502) 897-9881
(502) 897-9824
Mailing address
3810 SPRINGHURST BLVD # 100, MERIDIAN BUILDING, LOUISVILLE, KY 40241-6100
(502) 897-9881

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
17394
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
17394
STATE LICENSE
KY
05
6417394100
KY
Enumeration date
02/21/2006
Last updated
10/22/2020
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