Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Lithotripsy |
261QL0400X |
| NPI # | 1619258464 |
| LBN Legal business name | PRECISION LITHOTRIPSY LLC |
| Authorized official | SCOTT BAUGHAN - (CHIEF FINANCIAL OFFICER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 09/07/2011 |
| Last updated | 05/14/2012 - About 14 years ago |
| Identifiers | n/a |
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