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General NPI Number Information
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NPI Number | 1861450280
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Entity Type | Individual
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Provider Name | ELISABETH C VON BUN M.D.
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Gender | Female
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Dates
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Enumeration Date | 05/03/2006
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Last Update Date | 08/22/2024
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Provider Practice Location Address
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Address Line | 301 GORDON GUTMANN BLVD SUITE 301
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City | JEFFERSONVILLE
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State | IN
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Zip | 47130-3764
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Country | US
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Telephone | 812-288-9969
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Fax | 812-288-9657
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Provider Business Mailing Address
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Address Line | 315 E BROADWAY
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City | LOUISVILLE
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State | KY
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Zip | 40202-1703
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Country | US
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Telephone | 502-629-2500
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Fax | 502-629-3166
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 32167
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | MD050746L
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License Number State | PA
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