Individual
ALLEN GREGORY DEAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3950 KRESGE WAY STE 303, LOUISVILLE, KY 40207-4637
(502) 928-0900
(502) 928-0901
Mailing address
2700 STANLEY GAULT PKWY STE 129, LOUISVILLE, KY 40223-5176
(502) 489-6613
(502) 489-5751
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
30384
KY
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
30384
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64303845
—
KY
Enumeration date
07/28/2005
Last updated
12/03/2020
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