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Organization

UNIVERSITY OF LOUISVILLE RESEARCH FOUNDATION

Active
Parent organization
UNIVERSITY OF LOUISVILLE
Other names
ULRF Family Medicine - CPC
Organization subpart
Yes

Provider details

NPI number
Legal business name
UNIVERSITY OF LOUISVILLE
Authorized official
DAVID DUNN MD (EVP OF HEALTH AFFAIRS)
(502) 852-5184
Entity
Organization

Contact information

Practice address
215 CENTRAL AVE, SUITE 205, LOUISVILLE, KY 40208-1449
(502) 588-8700
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
(502) 588-0320
(502) 588-0326

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100083770
KY
Enumeration date
12/12/2013
Last updated
12/12/2013
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