| NPI | 1699757559 |
|---|---|
| Doing Business As | JEWISH HOSPITAL FPA |
| Entity Type | Organization |
| Authorized Contact | ZACH BOSTOCK Manager 502-262-4160 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2005-11-16 |
| Last Update Date | 2020-08-22 |