DR. Louis Kenneth Countryman, M.D.
NPI #1184612327 in San Marino, California
Provider Information
- NPI Number
- 1184612327
- Entity Type
- Individual
- Name
- DR. Louis Kenneth Countryman, M.D.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist
- Credential
- M.D.
- Enumeration Date
- Oct 12, 2005
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 375 HUNTINGTON DR
- Address 2
- # D
- City
- San Marino
- State
- California
- ZIP Code
- 91108-2357
- Phone
- (626) 287-9611
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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