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NPI Code Detail

MEDICARE: GREGORY AUSTIN POLITZER MD

MEDICARE:   GREGORY AUSTIN POLITZER  MD
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
1207Q00000XFamily Medicine Physician39720KY
2207Q00000XFamily Medicine Physician01069078AIN

Other Identifiers

General Provider Information

NPI Number : 1457310195
Entity Type Code : Individual
Provider Name (Legal Business Name) : GREGORY AUSTIN POLITZER MD
Provider Business Mailing Address
First Line : 301 HENRY ST
Second Line :
City : NORTH VERNON
State : IN
Zip : 47265-1030
Country : US
Telephone Number : 812-352-4300
Fax Number : 812-352-4301
Provider Business Practice Location Address
First Line : 301 HENRY ST
Second Line :
City : NORTH VERNON
State : IN
Zip : 47265-1030
Country : US
Telephone Number : 812-352-4300
Fax Number : 812-352-4301
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/21/2006
Last Update Date : 06/26/2011

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Directions to “ GREGORY AUSTIN POLITZER MD” Practice Location

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