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Organization
UNIVERSITY OBSTETRICAL AND GYNECOLOGICAL ASSOCIATES, PSC
Active
Organization
UNIVERSITY OBSTETRICAL AND GYNECOLOGICAL ASSOCIATES, PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTINE LOUISE COOK M.D. (PROFESSOR AND CHAIR)
(502) 271-5999
Entity
Organization
Contact information
Practice address
401 E CHESTNUT ST, SUITE 410, LOUISVILLE, KY 40202-5700
(502) 271-5999
(502) 271-5994
Mailing address
550 S JACKSON ST, UNIVERSITY OF LOUISVILLE DEPT. OF OB/GYN, LOUISVILLE, KY 40202-1622
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
NULL
174400000X
Specialist
Primary
—
—
363LW0102X
Women's Health Nurse Practitioner
—
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000057500
ANTHEM
KY
05
—
100033630
—
IN
01
—
1049267
PASSPORT SPECIALTY
KY
05
—
65900631
—
KY
05
—
7100023320
—
KY
Enumeration date
05/24/2006
Last updated
10/01/2008
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