NPI | 1124304274 |
---|---|
Entity Type | Organization |
Authorized Contact | CHRISTINA N VUNETICH Business Manager 502-897-1794 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical |
Enumeration Date | 2011-11-02 |
Last Update Date | 2012-03-09 |