| NPI | 1366564494 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT H ZAX President 502-583-6647 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ND0101X Dermatology MOHS-Micrographic Surgery (Licence: KY 25359) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: KY PA1034) |
| 363L00000X Nurse Practitioner (Licence: KY 4440P) | |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2024-10-09 |