Organization
UNIVERSITY OF LOUISVILLE PHYSICIANS, INC.
Active
Other names
ULP Sports Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN ELLIOTT (VP OF HUMAN RESOURCES)
(502) 588-4206
Entity
Organization
Contact information
Practice address
215 CENTRAL AVE, SUITE 102, LOUISVILLE, KY 40208-1449
(502) 852-7449
(502) 852-1423
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
(502) 588-0320
(502) 588-0326
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
—
—
Other
Enumeration date
04/06/2012
Last updated
04/10/2012
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