Individual
DR. MATTHEW CAMERON BOZEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
401 E CHESTNUT ST, STE 710, LOUISVILLE, KY 40202
(502) 583-8303
(502) 584-0302
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
(502) 588-0328
Taxonomy
Speciality
Code
Description
License number
State
2086S0102X
Surgical Critical Care Physician
Primary
46842
KY
2086S0127X
Trauma Surgery Physician
46842
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201232250
—
IN
05
—
7100142030
—
KY
Enumeration date
03/28/2008
Last updated
06/27/2018
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