Organization
MEDLIFEFIT MEDICAL SPA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JESSICA DOWE MD (OWNER)
(502) 797-9656
Entity
Organization
Contact information
Practice address
1442 HORN ST STE A&B, CLARKSVILLE, IN 47129-6701
(812) 924-7167
(812) 924-7210
Mailing address
1442 HORN ST STE A&B, CLARKSVILLE, IN 47129-6701
(502) 797-9686
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207QB0002X
Obesity Medicine (Family Medicine) Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1265497499
NPI
—
Enumeration date
02/17/2023
Last updated
04/18/2023
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