Bluegrass Orthopaedic Group Psc

NPI 1043414873 - Neuromusculoskeletal Medicine, Sports Medicine - 204C00000X

NPI Details
NPI 1043414873
Enumeration Date 06/14/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name EUGENE E EUGENE
Position PRESIDENT
Phone (502) 895-1489
Fax (502) 895-1261
Practice Location
3920 DUTCHMANS LN
SUITE 314
LOUISVILLE KY, 40207-4702, US
Phone (502) 895-1489
Fax (502) 895-1261
Business Location
3920 DUTCHMANS LN
SUITE 314
LOUISVILLE KY, 40207-4702, US
Phone (502) 895-1489
Fax (502) 895-1261
Toxanomy
Taxonomy Code 204C00000X
License State
License Number
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According to our database, Bluegrass Orthopaedic Group Psc NPI is 1043414873, taxonomy code is 204C00000X Bluegrass Orthopaedic Group Psc physically located at 3920 Dutchmans Ln, Louisville KY, 40207-4702. NPI Number 1033115704 has the healthcare provider type.

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1043414873 NPI number is provided on an as is basis without warranty of any kind. 1043414873 is maintained by the National Plan & Provider Enumeration System. The contents of Bluegrass Orthopaedic Group Psc are for informational purposes only.