Organization
UNIVERSITY OF LOUISVILLE PHYSICIANS, INC.
Active
Other names
ULP ACB Neurology
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN ELLIOTT (VP OF HUMAN RESOURCES)
(502) 588-4206
Entity
Organization
Contact information
Practice address
550 S JACKSON ST, 2ND FLOOR, LOUISVILLE, KY 40202-1622
(502) 562-6506
(502) 562-6507
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
(502) 588-0320
(502) 588-0326
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
—
—
Other
Enumeration date
04/16/2012
Last updated
04/16/2012
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