| Bma Surg | |
|
2600 Stanley Gault Pkwy Suite 201 Louisville KY 40223-4197 | |
| (502) 238-2801 | |
| (502) 238-2835 |
| Full Name | Bma Surg |
|---|---|
| Speciality | Surgery |
| Location | 2600 Stanley Gault Pkwy, Louisville, Kentucky |
| Authorized Official Name and Position | John Wortley (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5022382801 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bma Surg 2600 Stanley Gault Pkwy Suite 201 Louisville KY 40223-4197 Ph: (502) 238-2801 | Bma Surg 2600 Stanley Gault Pkwy Suite 201 Louisville KY 40223-4197 Ph: (502) 238-2801 |
| NPI Number | 1336269117 |
|---|---|
| Provider Enumeration Date | 03/29/2007 |
| Last Update Date | 08/03/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336269117 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Kentucky) | Secondary |
| 207R00000X | Internal Medicine | (Kentucky) | Secondary |
| 208600000X | Surgery | () | Primary |
| 208D00000X | General Practice | (Kentucky) | Secondary |
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