PUERTO MEDICAL GROUP PSC

LOUISVILLE, KY
NPI1982906400
Entity TypeOrganization
Authorized ContactALFONSO PUERTO
President
502-899-1246
Organization Subpart ?No
Primary Taxonomy208600000X Surgery
(Licence: KY  LL339)
Enumeration Date2010-12-04
Last Update Date2011-12-08
Business Address
PUERTO MEDICAL GROUP PSC
10806 WARD AVE
LOUISVILLE, KY 40223-2659
Phone number: 502-899-1246
Mailing Address
PUERTO MEDICAL GROUP PSC
PO BOX 436809
LOUISVILLE, KY 40253-6809
Phone number: 502-899-1246
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