| NPI | 1053581512 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONA LISA BRADSHAW Office Manager 270-689-2372 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: KY 35739) |
| Enumeration Date | 2008-03-11 |
| Last Update Date | 2008-03-11 |