NPI 1033366091

University Pediatric Gastroenterology, LLC

Organisation Pediatric Gastroenterology Physician Louisville, KY

Practice location

Address: 210 E Gray Street STE 802, Louisville, KY 40202-3904
Phone: (502) 852-7670
Mailing address: PO Box 2469, Louisville, KY 40201-2469

Authorised official

Name: Gerard P. Rabalais
Title: President
Phone: (502) 852-8600

Registered specialties

Pediatric Gastroenterology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2080P0206X

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Registry record

NPI: 1033366091
Entity type: Organization
NPI issued: 21 Aug 2008
Record last updated: 20 Aug 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.