Provider First Line Business Practice Location Address:
ULP COLORECTAL SURGERY
Provider Second Line Business Practice Location Address:
401 EAST CHESTNUT STREET, #710
Provider Business Practice Location Address City Name:
LOUISVILLE
Provider Business Practice Location Address State Name:
KY
Provider Business Practice Location Address Postal Code:
40202-5707
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
502-583-8303
Provider Business Practice Location Address Fax Number:
502-588-9506
Provider Enumeration Date:
05/31/2011