Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208G00000X | Cardiothoracic Vascular Surgeon | 30841 | KY |
NPI | 1023065018 |
---|---|
Provider Name | Dr. Robert D Dowling |
First Address | Louisville, KY 40202-1530 |
Second Address | Louisville, KY 40202-1543 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/05/2006 |
Last Update Date | 18/10/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
100374420 | (05) | IN |
64308414 | (05) | KY |
C33537 | (02) | KY |