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Robert A Todd

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NPI Number Detailed Information

Provider Information:

Name: Robert A Todd
Gender: M
Provider License Number If Given: 20928

NPI Information:

NPI: 1770586711
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 5/23/2005

Last Update Date: 12/17/2007

Provider Business Mailing Address:

Address: 6400 DUTCHMANS PKWY STE 331
Louisville, KY 40205
Phone Number: 5028960055
Fax Number: 5028960836

Provider Business Practice Location Address:

Address: 6400 DUTCHMANS PKWY STE 331
Louisville, KY 40205
Phone Number: 5028960055
Fax Number: 5028960836

Provider Taxonomy:

Primary: 2084P0800X
Secondary (if any):
State: KY

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