Provider First Line Business Practice Location Address:
220 ABRAHAM FLEXNER WAY FL 15
Provider Second Line Business Practice Location Address:
DEPARTMENT OF NEUROSURGERY
Provider Business Practice Location Address City Name:
LOUISVILLE
Provider Business Practice Location Address State Name:
KY
Provider Business Practice Location Address Postal Code:
40202-3826
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
617-877-0369
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/23/2016