University Surgical Associates, Psc
NPI #1053646547 in Louisville, Kentucky
Provider Information
- NPI Number
- 1053646547
- Entity Type
- Organization
- Organization Name
- University Surgical Associates, Psc
- Primary Specialty
- Nurse Practitioner
- Enumeration Date
- Oct 16, 2009
- Last Updated
- Oct 16, 2009
Practice Location
- Address
- 401 E CHESTNUT ST
- Address 2
- SUITE 710
- City
- Louisville
- State
- Kentucky
- ZIP Code
- 40202-5700
- Phone
- (502) 583-8303
Authorized Official
- Name
- MR. TIMOTHY D. CROCKETT
- Title
- CEO
- Phone
- (502) 583-8303
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
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