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Organization

SPRINGS PEDIATRICS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ELIOT LLOYD THOMPSON MD (CEO)
(502) 895-0524
Entity
Organization

Contact information

Practice address
6400 DUTCHMANS PKWY, SUITE 15, LOUISVILLE, KY 40205-3340
(502) 895-0524
(502) 897-5798
Mailing address
6400 DUTCHMANS PKWY, SUITE 15, LOUISVILLE, KY 40205-3340
(502) 895-0524
(502) 897-5798

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
29736
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1069507
PASSPORT
KY
Enumeration date
10/05/2006
Last updated
08/22/2020
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