Dr. Peter H Wayne III, M.D.
Radiology, Diagnostic Radiology in Louisville, KY. Individual provider (NPI-1).
NPI number1679596175
StatusActive
Last updated in NPPESMar 17, 2015
Details
- NPI
- 1679596175
- Entity type
- Individual (NPI-1)
- Name
- Dr. Peter H Wayne III
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 25, 2006
- Last updated
- Mar 17, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2085R0202X | Radiology, Diagnostic Radiology | 18914 | KY | Yes |
Practice location
4003 Kresge Way Ste 300Louisville, KY 40207-4652
Phone 502-897-5139 · Fax 502-638-4794
Mailing address
4003 Kresge Way Ste 300Suite 100
Louisville, KY 40207-4652
Phone 502-897-5139 · Fax 502-638-4794
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