NPI | 1114216777 |
---|---|
Doing Business As | BLUEGRASS SURGICAL SPECIALISTS, PLLC |
Entity Type | Organization |
Authorized Contact | PHILLIP PARKER CRACE Owner 606-886-1077 |
Organization Subpart ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: KY 41691) |
Enumeration Date | 2011-04-05 |
Last Update Date | 2011-04-05 |