| NPI | 1316254261 |
|---|---|
| Doing Business As | BLUEGRASS SURGICAL SPECIALISTS |
| Entity Type | Organization |
| Authorized Contact | PHILLIP PARKER CRACE Owner 606-886-1077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: KY 41691) |
| Enumeration Date | 2010-09-13 |
| Last Update Date | 2011-04-11 |