Organization
-TRINITY INTEGRATIVE MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAFAEL CRUZ MD (OWNER)
(859) 468-5065
Entity
Organization
Contact information
Practice address
100 WEST COURT ST, TRINITY INTEGRATIVE MEDICINE LLC, JEFFERSONVILLE, IN 47130
(859) 468-5065
Mailing address
14 REDGATE CT, SILVER SPRING, MD 20905-5726
(301) 989-0548
(301) 989-1543
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
01046661A
IN
261QE0002X
Emergency Care Clinic/Center
37305
KY
Other
Enumeration date
12/26/2012
Last updated
01/24/2013
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