# LOUISVILLE NEUROSURGICAL SPECIALISTS, P.S.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225181639
- **Authorized official:** DR. DAVID ALEXANDER PETRUSKA M.D. (PRESIDENT)
- **Authorized official phone:** (502) 899-9099

## Contact information

- **Practice address:** 4010 DUPONT CIR, SUITE L-28, LOUISVILLE, KY 40207-4812
- **Practice address phone:** (502) 899-9099
- **Practice address fax:** (502) 899-9899
- **Mailing address:** 4010 DUPONT CIR, SUITE L-28, LOUISVILLE, KY 40207-4812
- **Mailing address phone:** (502) 899-9099
- **Mailing address fax:** (502) 899-9899

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | — | NULL | Yes |
| 174400000X | Specialist | — | — | Yes |

## Other

- **Enumeration date:** 01/19/2007
- **Last updated:** 08/22/2020