Individual
DR. STEPHEN J NEUSTAT
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
108 DIAGNOSTIC DR, FRANKFORT, KY 40601-6556
(502) 227-5171
(502) 227-0131
Mailing address
PO BOX 37228, TUCSON, AZ 85740-7228
(859) 393-1814
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35902
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000018169
BLUE CROSS & BLUE SHIELD
KY
05
—
64010796
—
KY
Enumeration date
06/08/2006
Last updated
07/09/2015
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