| NPI | 1780372508 |
|---|---|
| Doing Business As | ULRF PAIN MEDICINE |
| Entity Type | Organization |
| Authorized Contact | TONI GANZEL EVP Of Heath Affairs 502-588-0320 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2023-04-28 |
| Last Update Date | 2025-07-28 |