Organization
UNIVERSITY ORTHOPAEDIC DEPARTMENTAL ENTITY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRAIG ROBERTS MD (DIRECTOR)
(502) 852-5319
Entity
Organization
Contact information
Practice address
530 S JACKSON ST, LOUISVILLE, KY 40202-1675
(502) 852-5319
(502) 852-7227
Mailing address
550 S JACKSON ST, ACB FIRST FLOOR, LOUISVILLE, KY 40202-1622
(502) 852-5319
(502) 852-7227
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
27747
KY
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
40767
KY
207XS0117X
Orthopaedic Surgery of the Spine Physician
27746
KY
207XX0801X
Orthopaedic Trauma Physician
40767
KY
Other
Enumeration date
05/14/2012
Last updated
08/03/2012
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