| NPI | 1063470755 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STUART DONNELLY SPALDING Member And Physician 502-618-0476 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: KY 373233) |
| Enumeration Date | 2006-05-02 |
| Last Update Date | 2007-08-15 |