| NPI | 1265851760 |
|---|---|
| Doing Business As | OUTWOOD SPECIALTY CLINIC |
| Entity Type | Organization |
| Authorized Contact | WENDY MORRIS Deputy Commissioner 502-564-4527 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2014-04-11 |
| Last Update Date | 2014-04-11 |