LARSON, BROUGH, AND BROCKMAN PSC

LOUISVILLE, KY
NPI1871543025
Entity TypeOrganization
Authorized ContactDANA L EVANS
Provider Enrollment Specialist
270-744-9600
Organization Subpart ?No
Primary Taxonomy208000000X Pediatrics
Enumeration Date2006-05-10
Last Update Date2011-08-22
Business Address
LARSON, BROUGH, AND BROCKMAN PSC
5109 NEW CUT RD
LOUISVILLE, KY 40214-2745
Phone number: 502-361-1197
Mailing Address
LARSON, BROUGH, AND BROCKMAN PSC
PO BOX 9150
PADUCAH, KY 42002-9150
Phone number: 270-744-9600
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