Bluegrass Surgical Association, Psc
NPI #1497814768 in Bowling Green, Kentucky
Provider Information
- NPI Number
- 1497814768
- Entity Type
- Organization
- Organization Name
- Bluegrass Surgical Association, Psc
- Primary Specialty
- Specialist
- Enumeration Date
- Dec 6, 2006
- Last Updated
- Dec 14, 2010
Practice Location
- Address
- 996 WILKINSON TRCE
- Address 2
- SUITE A5
- City
- Bowling Green
- State
- Kentucky
- ZIP Code
- 42103-3407
- Phone
- (270) 782-5219
Authorized Official
- Name
- JOHN L KORBA, MD
- Title
- PRESIDENT
- Phone
- (270) 782-5219
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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