Provider First Line Business Practice Location Address:
530 S JACKSON ST
Provider Second Line Business Practice Location Address:
UNIVERSITY OF LOUISVILLE DEPARTMENT OF SURGERY
Provider Business Practice Location Address City Name:
LOUISVILLE
Provider Business Practice Location Address State Name:
KY
Provider Business Practice Location Address Postal Code:
40202
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
203-535-1703
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/14/2008