| NPI | 1063745081 |
|---|---|
| Doing Business As | SAINT JOSEPH BEREA UROLOGY |
| Entity Type | Organization |
| Authorized Contact | KANDI R REA Credentialing Specialist 606-330-3404 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208800000X Urology |
| Enumeration Date | 2009-09-09 |
| Last Update Date | 2009-10-29 |