Organization
ORTHOPEDIC & SPORTS SPECIALISTS OF LOUISVILLE, PSC
Active
Organization
ORTHOPEDIC & SPORTS SPECIALISTS OF LOUISVILLE, PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW L. DEGRUCCIO M.D. (OWNER/PROVIDER)
(502) 762-9528
Entity
Organization
Contact information
Practice address
9370 CEDAR CENTER WAY, LOUISVILLE, KY 40291
(502) 762-9528
Mailing address
9370 CEDAR CENTER WAY, LOUISVILLE, KY 40291
(502) 762-9528
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
29694
KY
Other
Enumeration date
11/01/2007
Last updated
11/01/2007
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