| NPI | 1750422002 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERNEST W. MARSHALL Medical Director 502-589-2124 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2020-08-22 |