Organization
UNIVERSITY OF LOUISVILLE RESEARCH FOUNDATION, INC
Active
Other names
ULRF Campus Health Services - Belknap, Campus Health Services Office - Health Science Center
Organization subpart
No
Provider details
NPI number
Authorized official
TONI GANZEL MD (VP OF HEALTH AFFAIRS)
(502) 852-5555
Entity
Organization
Contact information
Practice address
215 CENTRAL AVE STE 110, LOUISVILLE, KY 40208-1449
(502) 852-6446
(502) 852-0660
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
(502) 588-0320
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
555205
ANTHEM
KY
Enumeration date
07/07/2006
Last updated
10/26/2021
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