Individual
DR. ERIC D GOURIEUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7926 PRESTON HWY STE 106, LOUISVILLE, KY 40219-3848
(502) 964-4357
(502) 966-5948
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
01038628
IN
207Q00000X
Family Medicine Physician
Primary
TP297
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100432980
—
IN
Enumeration date
12/27/2005
Last updated
02/08/2018
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