| NPI | 1114346467 |
|---|---|
| Other Name | HAZELWOOD SPECIALTY CLINIC |
| Doing Business As | HAZELWOOD SPECIALTY CLINIC |
| Entity Type | Organization |
| Authorized Contact | STEPHANIE CRAYCRAFT Acting Commissioner 502-782-6243 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2014-04-15 |
| Last Update Date | 2023-04-26 |