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1053646547
UNIVERSITY SURGICAL ASSOCIATES, PSC
LOUISVILLE, KY
NPI
1053646547
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Entity Type
Organization
Authorized Contact
TIMOTHY D. CROCKETT
CEO
502-583-8303
Organization Subpart ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
Enumeration Date
2009-10-16
Last Update Date
2009-10-16
Business Address
UNIVERSITY SURGICAL ASSOCIATES, PSC
401 E CHESTNUT ST SUITE 710
LOUISVILLE, KY 40202-5700
Phone number: 502-583-8303
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Mailing Address
UNIVERSITY SURGICAL ASSOCIATES, PSC
401 E CHESTNUT ST SUITE 710
LOUISVILLE, KY 40202-5700
Phone number: 502-583-8303
Copy
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