| NPI | 1275519704 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERALD D VERDI Owner / Physician 502-895-5555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: KY 16645) |
| Enumeration Date | 2005-12-16 |
| Last Update Date | 2020-08-22 |