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Organization
THORNTONMD COSMETIC SURGERY CENTER
Active
Organization
THORNTONMD COSMETIC SURGERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN P THORNTON MD (PRESIDENT)
(502) 629-2610
Entity
Organization
Contact information
Practice address
210 E GRAY ST, LOUISVILLE, KY 40202-3900
(502) 629-2610
(502) 629-2605
Mailing address
315 E BROADWAY STE 300, LOUISVILLE, KY 40202-3700
(502) 629-2610
(502) 629-2605
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
02/26/2013
Last updated
01/06/2020
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