NPI | 1326561648 |
---|---|
Doing Business As | ULTIMATE MD |
Entity Type | Organization |
Authorized Contact | JULIE SCHOENBAECHLER Credentialing Support 502-220-8437 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: KY 25305) |
Additional Taxonomies | 208000000X Pediatrics |
Enumeration Date | 2017-07-18 |
Last Update Date | 2022-07-21 |