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Individual

DR. ROGER JAY PENTZIEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
800 ZORN AVE, LOUISVILLE, KY 40206-1433
(502) 287-5914
Mailing address
9008 CROWNE SPRINGS CIR, UNIT 200, LOUISVILLE, KY 40241-8134
(502) 327-7600
(502) 327-7600

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
29023
KY

Other

Enumeration date
06/10/2006
Last updated
02/06/2008
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