Individual
NORBERTO OMAR ANDALUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
220 ABRAHAM FLEXNER WAY STE 1200, LOUISVILLE, KY 40202-3826
(502) 899-3623
(502) 899-7970
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
(502) 588-0325
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
35.083066
OH
207T00000X
Neurological Surgery Physician
FL054
KS
207T00000X
Neurological Surgery Physician
Primary
FL054
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201014440
—
IN
05
—
7100157430
—
KY
Enumeration date
06/19/2006
Last updated
08/09/2019
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