Organization · Type 2 NPI
Puerto Medical Group PSC
Surgery Physician · Louisville, KY
Practice location
10806 Ward Ave
Louisville, KY 40223-2659
Fax (234) 567-4229
Mailing address
PO Box 436809
Louisville, KY 40253-6809
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgery Physician Primary | 208600000X | LL339 (KY) |
Surgery Physician: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasin…
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About NPI 1982906400
Puerto Medical Group PSC's National Provider Identifier is 1982906400, issued on Dec 4, 2010. The primary taxonomy on file is Surgery Physician (208600000X), and the practice location is in Louisville, KY. The record was last updated on Dec 8, 2011.