specializing in general practice in Avondale, Arizona
NPI: 1700238318
Provider Type
2
Practice Locations
Mailing Location
101 S 5TH ST
LOUISVILLE, KY 40202
Practice Location
Provider Information
Gender:
Sole Proprietor:No
Enumeration Date:7/7/2016
Last Updated:5/20/2020
Credentials
Primary Credential: