| NPI | 1316369390 |
|---|---|
| Doing Business As | ULRF PLASTIC SURGERY |
| Entity Type | Organization |
| Authorized Contact | TONI GANZEL VP For Academic Medical Affairs 502-852-5555 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 2082S0105X Plastic Surgery, Surgery of the Hand | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2014-01-10 |
| Last Update Date | 2020-08-25 |