Organization
UNIVERSITY PHYSICIANS ASSOCIATES
Active
Other names
Neurology/UPA
Organization subpart
No
Provider details
NPI number
Authorized official
PAM ANDERSON (CFO)
(502) 562-5762
Entity
Organization
Contact information
Practice address
550 S JACKSON ST, 2ND FLOOR, LOUISVILLE, KY 40202-1622
(502) 562-6506
(502) 562-6507
Mailing address
501 E BROADWAY, STE 290, LOUISVILLE, KY 40202-1785
(502) 217-5134
(502) 217-5137
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
—
—
2084N0400X
Neurology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31000102
—
KY
Enumeration date
06/15/2006
Last updated
09/25/2009
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