Organization
SPECIALTY ORTHOPAEDICS, PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS M GABRIEL M.D. (PRESIDENT)
(502) 721-8288
Entity
Organization
Contact information
Practice address
6400 DUTCHMANS PKWY, SUITE 215, LOUISVILLE, KY 40205-3340
(502) 721-8288
Mailing address
6400 DUTCHMANS PKWY, SUITE 215, LOUISVILLE, KY 40205-3340
(502) 721-8288
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5535230001
GRP DMEPOS
KY
Enumeration date
10/27/2006
Last updated
12/08/2023
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