Organization
FAZIO ANESTHESIA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VALERIE FAZIO CRNA, APRN (ORGANIZER/REGISTERED AGENT)
(502) 418-8561
Entity
Organization
Contact information
Practice address
9202 LEESGATE RD, LOUISVILLE, KY 40222-5001
(502) 637-4800
Mailing address
14402 BROOK FOREST PL, LOUISVILLE, KY 40245-5208
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
01/10/2022
Last updated
01/10/2022
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