NPI | 1871559286 |
---|---|
Doing Business As | U OF L SPORTS MEDICINE AT CENTRAL STATION |
Entity Type | Organization |
Authorized Contact | JAMES OBRIEN Chairman Of Dept 502-852-5498 |
Organization Subpart ? | No |
Primary Taxonomy | 207QS0010X Family Medicine, Sports Medicine |
Enumeration Date | 2006-04-25 |
Last Update Date | 2020-08-22 |