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Organization
THE UNIVERSITY GYNECOLOGICAL & OBSTETRICAL FOUNDATION, INC.
Active
Organization
THE UNIVERSITY GYNECOLOGICAL & OBSTETRICAL FOUNDATION, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTINE COOK M.D. (PROFESSOR AND CHAIR)
(502) 561-8850
Entity
Organization
Contact information
Practice address
550 S JACKSON ST, 3RD FLOOR, LOUISVILLE, KY 40202-1622
(502) 561-8850
Mailing address
550 S JACKSON ST, ATTN: VICKI MASTERSON UNIVERSITY OF LOUISVILLE, LOUISVILLE, KY 40202-1622
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
NULL
174400000X
Specialist
Primary
—
—
363LW0102X
Women's Health Nurse Practitioner
—
NULL
363LW0102X
Women's Health Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000058997
ANTHEM
KY
05
—
100004330
—
IN
01
—
1049254
PASSPORT SPECIALTY GROUP NUMBER
KY
01
—
1051458
PASSPORT PRIMARY CARE GROUP NUMBER
KY
05
—
65907222
—
KY
05
—
789038200
—
KY
Enumeration date
05/24/2006
Last updated
08/14/2008
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