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Organization

HUGO A. VELASCO

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. HUGO A VELASCO M.D. (PRESIDENT)
(502) 290-8364
Entity
Organization

Contact information

Practice address
4002 GREENBROOK COURT, LOUISVILLE, KY 40220
(502) 290-8364
Mailing address
4002 GREENBROOK COURT, LOUISVILLE, KY 40220
(502) 290-8364

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
15637
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
64156375
KY
Enumeration date
11/30/2009
Last updated
11/30/2009
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