Organization
RICHARD H DUBOU MD PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD H DUBOU MD (OWNER)
(502) 933-1100
Entity
Organization
Contact information
Practice address
9702 STONESTREET RD, 304, LOUISVILLE, KY 40272-2860
(502) 933-1100
(502) 933-1153
Mailing address
9702 STONESTREET RD, 304, LOUISVILLE, KY 40272-2860
(502) 933-1100
(502) 933-1153
Taxonomy
Speciality
Code
Description
License number
State
2086S0105X
Surgery of the Hand (Surgery) Physician
Primary
01065446A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201042870A
—
IN
05
—
7100188340
—
KY
Enumeration date
03/22/2010
Last updated
03/01/2012
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