| NPI | 1477898823 |
|---|---|
| Doing Business As | ULP ACB NEUROSURGERY |
| Entity Type | Organization |
| Authorized Contact | JOHN ELLIOTT VP Of Hr 502-588-4026 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2012-12-11 |
| Last Update Date | 2012-12-11 |