MEDICARE: DAVID L SPEER 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
1	208000000X	Pediatrics Physician	17982	KY

General Provider Information

NPI Number	:	1649273384
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID L SPEER M. D.

Provider Business Mailing Address
First Line	:	PO BOX 950293
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40295-0293
Country	:	US
Telephone Number	:	888-987-1785
Fax Number	:	405-609-1491

Provider Business Practice Location Address
First Line	:	5120 DIXIE HWY
Second Line	:	SUITE 101
City	:	LOUISVILLE
State	:	KY
Zip	:	40216-1702
Country	:	US
Telephone Number	:	502-448-7853
Fax Number	:	502-448-2281

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/26/2005
Last Update Date	:	05/30/2016

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Directions to “ DAVID L SPEER M. D.” Practice Location

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