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Individual

DR. DAVID LEE DORNBOS III

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
740 S LIMESTONE, STE B101, LEXINGTON, KY 40536
(859) 323-5661
(859) 323-5943
Mailing address
57 CLARK PL, COLUMBUS, OH 43201-2462
(616) 915-8560

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
55547
KY
207T00000X
Neurological Surgery Physician
57.021021
OH
207T00000X
Neurological Surgery Physician
TP065
KY

Other

Enumeration date
07/24/2012
Last updated
05/02/2022
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