Provider Demographics
NPI:1407690928
Name:MUSCULOSKELETAL ASSOCIATES PLLC
Entity type:Organization
Organization Name:MUSCULOSKELETAL ASSOCIATES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:CONLIFFE
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:502-639-8722
Mailing Address - Street 1:506 EXECUTIVE PARK
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40207-4205
Mailing Address - Country:US
Mailing Address - Phone:502-747-7071
Mailing Address - Fax:
Practice Address - Street 1:1730 WILLIAMSBURG DR STE 4
Practice Address - Street 2:
Practice Address - City:JEFFERSONVILLE
Practice Address - State:IN
Practice Address - Zip Code:47130-8065
Practice Address - Country:US
Practice Address - Phone:502-747-7071
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-20
Last Update Date:2024-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies