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Brian T Przystawski, Dpm, Pcs

Podiatrist, Foot & Ankle Surgery in Louisville, KY. Organization (NPI-2).

NPI number1164512612
StatusActive
Last updated in NPPESNov 2, 2022

Details

NPI
1164512612
Entity type
Organization (NPI-2)
Legal business name
Brian T Przystawski, Dpm, Pcs
Organization subpart
No
Enumeration date
Oct 13, 2006
Certification date
Nov 2, 2022
Last updated
Nov 2, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
213ES0103X Podiatrist, Foot & Ankle Surgery–KYYes

Practice location

4119 Browns Lane
Bld#2
Louisville, KY 40220

Phone 502-895-3840 · Fax 502-897-3642

Mailing address

Po Box 708
Prospect, KY 40059-0708

Phone 502-454-4187 · Fax 502-454-4235

Authorized official

Brian T Przystawski
Owner
5028953840

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