| NPI | 1114346467 |
|---|---|
| Other Name | HAZELWOOD SPECIALTY CLINIC |
| Entity Type | Organization |
| Authorized Contact | JENNIFER MOORE Assistant Director 502-782-6117 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
| Enumeration Date | 2014-04-15 |
| Last Update Date | 2024-08-07 |