Organization
UNIVERSITY MEDICAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY E SNAWDER (BUSINESS OFFICE DIRECTOR)
(502) 589-4856
Entity
Organization
Contact information
Practice address
401 E CHESTNUT STREET, STE 310, LOUISVILLE, KY 40202
(502) 589-4856
(502) 589-5093
Mailing address
501 E BROADWAY, STE 200, LOUISVILLE, KY 40202
(502) 589-4856
(502) 589-5093
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100003580
—
IN
05
—
65902447
—
KY
Enumeration date
05/23/2006
Last updated
12/22/2010
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