NPI | 1982288866 |
---|---|
Former Legal Business Name | ULRF URGENT CARE |
Entity Type | Organization |
Authorized Contact | TONI GANZEL VP Of Health Affairs 502-852-5555 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 363L00000X Nurse Practitioner |
261QU0200X Clinic/Center, Urgent Care | |
363A00000X Physician Assistant | |
Enumeration Date | 2021-05-07 |
Last Update Date | 2021-07-01 |