Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Ambulatory Surgical |
261QA1903X | 49 | Ambulatory Surgical Center |
| NPI Number | 1487988671 |
| LBN Legal business name | UROLOGY ASSOCIATES FACILITY |
| Authorized official | STJEPAN GARDILCIC - (MEDICAL DIRECTOR) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 09/22/2009 |
| Last updated | 09/22/2009 - About 17 years ago |
| Identifiers | n/a |
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