Individual
DR. DOUGLAS BAZIL TZANETOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9113 LEESGATE RD, LOUISVILLE, KY 40222-5003
(502) 426-1621
(502) 426-7906
Mailing address
9800 SHELBYVILLE RD STE 220, LOUISVILLE, KY 40223-2992
(502) 429-8585
(502) 429-6157
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
39285
KY
Other
Enumeration date
10/04/2006
Last updated
12/13/2018
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