| NPI | 1114026879 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLA F MARSHALL Office Manager 502-636-5532 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2008-05-07 |