Louisville Neurosurgical Specialist Psc
NPI #1184760357 in Louisville, Kentucky
Provider Information
- NPI Number
- 1184760357
- Entity Type
- Organization
- Organization Name
- Louisville Neurosurgical Specialist Psc
- Primary Specialty
- Neurological Surgery
- Enumeration Date
- Jan 29, 2007
- Last Updated
- Aug 20, 2007
Practice Location
- Address
- 4010 DUPONT CIR
- Address 2
- SUITE L28
- City
- Louisville
- State
- Kentucky
- ZIP Code
- 40207-4812
- Phone
- (502) 899-9099
Authorized Official
- Name
- DAVID PETRUSKA, MD
- Title
- OWNER PHYSICIAN
- Phone
- (502) 899-9099
Specialties & Taxonomy Codes
| Specialty |
|---|
| Neurological Surgery |
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