Organization
CAPITAL SURGICAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN R. VALLANCE M.D. (PRESIDENT)
(502) 223-7629
Entity
Organization
Contact information
Practice address
1 PHYSICIANS PARK, FRANKFORT, KY 40601-4107
(502) 223-7629
(502) 223-9829
Mailing address
1 PHYSICIANS PARK, FRANKFORT, KY 40601-4107
(502) 223-7629
(502) 223-9829
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65903767
—
KY
Enumeration date
05/25/2006
Last updated
09/25/2010
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