Organization · Type 2 NPI

Mat Prac Group, LLC

Addiction Medicine (Internal Medicine) Physician · Louisville, KY

NPI number 1083093207 Active

Practice location

204 S Floyd St, Box 8
Louisville, KY 40202-1208

Specialties and licenses

TaxonomyCodeLicense
Addiction Medicine (Internal Medicine) Physician Primary 207RA0401XNone listed

Addiction Medicine (Internal Medicine) Physician: An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.

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About NPI 1083093207

Mat Prac Group, LLC's National Provider Identifier is 1083093207, issued on May 20, 2015. The primary taxonomy on file is Addiction Medicine (Internal Medicine) Physician (207RA0401X), and the practice location is in Louisville, KY. The record was last updated on Jul 2, 2015.