Organization
INTERNAL MEDICINE CONSULTANTS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUAN G POLO MD (DIRECTOR)
(502) 629-4525
Entity
Organization
Contact information
Practice address
234 E GRAY ST STE 670, LOUISVILLE, KY 40202-1901
(502) 629-4525
(502) 629-4529
Mailing address
234 E GRAY ST STE 670, LOUISVILLE, KY 40202-1901
(502) 629-4525
(502) 629-4529
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200489040
—
KY
Enumeration date
10/09/2008
Last updated
10/09/2008
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