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NPI Code Detail

MEDICARE: DR. JOHN WORTH GAMEL M. D.

MEDICARE: DR. JOHN WORTH GAMEL M. D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207W00000XOphthalmology Physician19241KY

General Provider Information

NPI Number : 1427102086
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOHN WORTH GAMEL M. D.
Provider Business Mailing Address
First Line : 300 OREAD RD
Second Line :
City : LOUISVILLE
State : KY
Zip : 40207-1915
Country : US
Telephone Number : 502-290-5204
Fax Number : 502-290-5204
Provider Business Practice Location Address
First Line : 301 E MUHAMMAD ALI BLVD
Second Line :
City : LOUISVILLE
State : KY
Zip : 40202-1511
Country : US
Telephone Number : 502-852-5466
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/22/2007
Last Update Date : 07/08/2007

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