Individual
DR. JEFFREY S DANETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1325 TRIPLETT ST, OWENSBORO, KY 42303-3163
(270) 688-4325
(270) 687-4322
Mailing address
PO BOX 23229, OWENSBORO, KY 42304-3229
(270) 688-1330
(270) 688-1338
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
47741
KY
208600000X
Surgery Physician
ME93263
FL
208600000X
Surgery Physician
TP082
KY
2086S0129X
Vascular Surgery Physician
TP082
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16079
BCBS
FL
05
—
272931800
—
FL
Enumeration date
04/26/2006
Last updated
11/19/2024
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