Organization
HEART CLINIC OF LOUISVILLE, PSC
Active
Organization
HEART CLINIC OF LOUISVILLE, PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WAYNE GIBSON MD (OWNER)
(812) 218-9845
Entity
Organization
Contact information
Practice address
601 N SHORE DR, SUITE 102, JEFFERSONVILLE, IN 47130-3142
(812) 218-9845
(812) 218-9850
Mailing address
601 N SHORE DR, SUITE 102, JEFFERSONVILLE, IN 47130-3142
(812) 218-9845
(812) 218-9850
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
01040911A
IN
Other
Enumeration date
04/29/2008
Last updated
05/06/2013
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