| NPI | 1922420975 |
|---|---|
| Doing Business As | ULRF COLORECTAL SURGERY |
| Entity Type | Organization |
| Authorized Contact | TONI GANZEL VP Of Academic Medical Affairs 502-852-5555 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2014-01-10 |
| Last Update Date | 2020-08-25 |