Provider First Line Business Practice Location Address:
550 SOUTH JACKSON ST 1ST FLOOR, AMBULATORY CARE
Provider Second Line Business Practice Location Address:
BUILDING, DEPARTMENT OF ORTHOPEDIC 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:
502-852-8605
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/02/2023