Organization
EAST END SURGICAL ASSISTANTS, PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAUREEN ELIZABETH MARRA M.D. (OWNER)
(502) 551-9174
Entity
Organization
Contact information
Practice address
2069 DOUGLASS BLVD, LOUISVILLE, KY 40205-1927
(502) 551-9174
Mailing address
PO BOX 5450, LOUISVILLE, KY 40255-0450
(502) 551-9174
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
29817
KY
Other
Enumeration date
09/18/2007
Last updated
09/21/2007
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