Provider First Line Business Practice Location Address:
571 SOUTH FLOYD ST. SUITE 412
Provider Second Line Business Practice Location Address:
OFFICE OF MEDICAL EDUCATION, DEPARTMENT OF PEDIATRICS,
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:
502-852-8600
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/10/2024