NPI 1891155024
Jack Dale Tolliver, MD
Practice location
- Address
- 2120 Cave Spring Pl, Louisville, KY 40223-1562
- Phone
- (502) 931-1373
Registered specialties
Legal Medicine
Primary
Registry record
- NPI
- 1891155024
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 1 Mar 2016
- Record last updated
- 1 Mar 2016
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.