| NPI | 1790107779 |
|---|---|
| Doing Business As | ULRF GASTROENTEROLOGY |
| Entity Type | Organization |
| Authorized Contact | DAVID DUNN EVP Of Health Affairs 502-852-5184 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2014-01-10 |
| Last Update Date | 2014-01-15 |