Organization
UNIVERSITY PEDIATRIC SURGERY ASSOCIATES, PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATTI SACRA (ADMINISTRATOR)
(502) 583-7337
Entity
Organization
Contact information
Practice address
234 E GRAY ST STE 766, LOUISVILLE, KY 40202-1901
(502) 583-7337
(502) 584-5437
Mailing address
234 E GRAY ST STE 766, LOUISVILLE, KY 40202-1901
(502) 583-7337
(502) 584-5437
Taxonomy
Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
Primary
—
—
Other
Enumeration date
10/12/2006
Last updated
08/22/2020
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