DR. JACK DALE TOLLIVER M.D. NPI 1891155024

NPI Information

DR. Jack Dale Tolliver, M.D. is a legal medicine in Louisville, KY. The provider is the specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections. DR. Jack Dale Tolliver, M.D. NPI is 1891155024. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2120 CAVE SPRING PL
LOUISVILLE, KY
ZIP 40223-562
Phone: (502) 931-1373

The enumeration date for this NPI number is 3/1/2016 and was last updated on 3/1/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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