| NPI | 1003086646 |
|---|---|
| Doing Business As | BAXTER REGIONAL UROLOGY CLINIC |
| Entity Type | Organization |
| Authorized Contact | DEBRA HENRY CFO 870-508-1033 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: AR E4783) |
| Enumeration Date | 2008-03-11 |
| Last Update Date | 2019-10-03 |