Individual
DR. MERCIA JEANNE DUARTE BEZERRA DIBE GONDIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
550 S JACKSON ST, LOUISVILLE, KY 40202-1622
(502) 588-3600
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
(502) 852-1816
Taxonomy
Speciality
Code
Description
License number
State
207ZN0500X
Neuropathology Physician
52236
KY
207ZP0101X
Anatomic Pathology Physician
Primary
52236
KY
Other
Enumeration date
08/14/2014
Last updated
10/25/2022
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