NPI | 1831936343 |
---|---|
Doing Business As | BLUEGRASS MEDICAL ALLIANCE |
Entity Type | Organization |
Authorized Contact | ZIAD W. DEEB SARA Md / Owner 859-263-1717 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Enumeration Date | 2024-07-11 |
Last Update Date | 2024-07-11 |