| NPI | 1346371879 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WAYNE M SHUGOLL Physician And Owner 502-629-3838 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2008-08-13 |