| NPI | 1568418549 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN D EDWARDS Owner/ President 859-962-4888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery |
| Additional Taxonomies | 208600000X Surgery |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2007-11-30 |