Individual
ANTONY HAZEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
315 EAST BROADWAY, SUITE 195, LOUISVILLE, KY 40202-1703
(502) 629-4263
(502) 629-4282
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
49218
KY
Other
Enumeration date
04/23/2010
Last updated
01/19/2021
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