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Individual

PETER LEE THURMAN SR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2215 PORTLAND AVE, LOUISVILLE, KY 40212-1033
(502) 774-8631
(502) 778-3499
Mailing address
2215 PORTLAND AVE, LOUISVILLE, KY 40212-1033
(502) 774-8631
(502) 778-3499

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
19499
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
64194996
KY
Enumeration date
01/09/2007
Last updated
06/22/2011
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