Individual
ROBERT HENRY ZAX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2307 RIVER RD STE 101, LOUISVILLE, KY 40206-5000
(502) 583-6647
(502) 585-4824
Mailing address
PO BOX 36422, LOUISVILLE, KY 40233-6422
(502) 583-6647
(502) 585-4824
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
25359
KY
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
25359
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100347220
—
IN
05
—
64253594
—
KY
01
—
P00003505
RR MCR PALMETTO
KY
Enumeration date
12/12/2005
Last updated
10/09/2024
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