Organization
LOUISVILLE SURGASSIST LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TRAVIS PABLO SURGICAL ASSIST (OWNER)
(502) 533-6924
Entity
Organization
Contact information
Practice address
7601 CARMIL CT, LOUISVILLE, KY 40291-2931
(502) 533-6924
Mailing address
7601 CARMIL CT, LOUISVILLE, KY 40291-2931
(502) 533-6924
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
SA161
KY
Other
Enumeration date
02/28/2014
Last updated
02/28/2014
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