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Individual

JOHN W SANSBURY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4000 KRESGE WAY, LOUISVILLE, KY 40207-4605
(502) 259-5391
(502) 259-9733
Mailing address
PO BOX 34748, LOUISVILLE, KY 40232-4748
(502) 259-5391
(502) 259-9733

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
01048387A
IN
207L00000X
Anesthesiology Physician
Primary
19643
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
64196459
KY
Enumeration date
09/07/2005
Last updated
10/10/2007
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