Individual
DR. PATRICIA SUZANNE TODD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
411 E CHESTNUT ST # STREET7, LOUISVILLE, KY 40202-1713
(502) 588-9581
(502) 266-2632
Mailing address
PO BOX 776879, CHICAGO, IL 60677-6879
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
266307
MA
207NP0225X
Pediatric Dermatology Physician
Primary
50546
KY
207R00000X
Internal Medicine Physician
125061863
IL
Other
Enumeration date
07/18/2012
Last updated
10/27/2020
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