Provider First Line Business Practice Location Address:
401 EAST CHESTNUT ST, SUITE 180
Provider Second Line Business Practice Location Address:
UNIVERSITY OF LOUISVILLE HEALTHCARE OUTPATIENT CENTER
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:
502-813-6107
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/13/2007