NPI | 1578988671 |
---|---|
Entity Type | Organization |
Authorized Contact | GEORGE C STEGE Owner/Provider 502-584-1061 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Additional Taxonomies | 363L00000X Nurse Practitioner |
Enumeration Date | 2014-02-26 |
Last Update Date | 2014-06-19 |