Organization
SURGICAL ASSOCIATES OF LOUISVILLE, PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DARLENE D VASSER CMPE (PRACTICE MANAGER)
(502) 895-1995
Entity
Organization
Contact information
Practice address
4001 KRESGE WAY, SUITE 210, LOUISVILLE, KY 40207-4640
(502) 895-1995
(502) 895-6479
Mailing address
4001 KRESGE WAY, SUITE 210, LOUISVILLE, KY 40207-4640
(502) 895-1995
(502) 895-6479
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64210628
—
KY
05
—
64252521
—
KY
05
—
64280167
—
KY
05
—
64297260
—
KY
Enumeration date
06/03/2006
Last updated
02/06/2008
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