Organization
UNIVERSITY FAMILY & GERIATRIC MEDICINE ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES G. O'BRIEN M.D. (DEPARTMENT CHAIR)
(502) 852-8498
Entity
Organization
Contact information
Practice address
215 CENTRAL AVE, STE 102, LOUISVILLE, KY 40208-1418
(502) 852-7449
(502) 852-1423
Mailing address
501 E BROADWAY, STE 240, LOUISVILLE, KY 40202-1785
(502) 852-2501
(502) 852-0651
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100039550
—
KY
Enumeration date
04/15/2008
Last updated
11/10/2008
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