| 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 |