Individual
SARAH GREER MIZUGUCHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4004 DUPONT CIR STE 230, LOUISVILLE, KY 40207
(502) 893-1333
(502) 899-9576
Mailing address
2700 STANLEY GAULT PKWY STE 129, LOUISVILLE, KY 40223-5176
(502) 253-4900
(502) 489-5751
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
R0495
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200914440
—
KY
Enumeration date
03/08/2007
Last updated
12/04/2020
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