Provider First Line Business Practice Location Address:
DEPARTMENT OF SURGERY; SCHOOL OF MEDICINE
Provider Second Line Business Practice Location Address:
UNIVERSITY OF LOUISVILLE
Provider Business Practice Location Address City Name:
LOUISVILLE
Provider Business Practice Location Address State Name:
KY
Provider Business Practice Location Address Postal Code:
40292-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
916-213-0622
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/14/2005