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Individual

MR. DONALD L POMEROY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4331 CHURCHMAN AVE STE 101, LOUISVILLE, KY 40215-1164
(502) 364-0902
(502) 364-0099
Mailing address
4331 CHURCHMAN AVE STE 101, LOUISVILLE, KY 40215-1164
(502) 364-0902
(502) 364-0099

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
01074485A
IN
207X00000X
Orthopaedic Surgery Physician
Primary
24400
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000348836
ANTHEM
KY
01
50009264
PASSPORT
KY
05
64244007
KY
01
P00175871
RAILROAD MEDICARE
KY
Enumeration date
04/10/2006
Last updated
05/14/2021
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