NPI | 1083211841 |
---|---|
Doing Business As | HURSTBOURNE FAMILY CARE |
Entity Type | Organization |
Authorized Contact | GEORGE STEGE Owner 502-653-7643 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 207R00000X Internal Medicine |
363L00000X Nurse Practitioner | |
Enumeration Date | 2020-10-05 |
Last Update Date | 2021-01-15 |