NPI | 1336133867 |
---|---|
Doing Business As | PLEASURE RIDGE PRIMARY CARE |
Entity Type | Organization |
Authorized Contact | VICTOR J SHPILBERG Managing Partner 502-937-3154 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 207R00000X Internal Medicine |
Enumeration Date | 2005-09-12 |
Last Update Date | 2009-05-13 |