Organization
UOFL RESEARCH FOUNDATION
Active
Other names
Wings Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES O'BRIEN (CHAIRMAN OF DEPARTMENT)
(502) 562-6783
Entity
Organization
Contact information
Practice address
550 S JACKSON ST, 2ND FLOOR, ACB, LOUISVILLE, KY 40202-1622
(502) 561-8844
(502) 561-8843
Mailing address
501 E BROADWAY, STE 120, LOUISVILLE, KY 40202-1785
(502) 562-6810
(502) 562-6777
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207RI0200X
Infectious Disease Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31000102
—
KS
Enumeration date
07/05/2006
Last updated
09/17/2007
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