NPI | 1073502522 |
---|---|
Entity Type | Organization |
Authorized Contact | DOMINIC N. FERRERA Owner 740-283-7300 |
Organization Subpart ? | No |
Primary Taxonomy | 208800000X Urology (Licence: OH 35-041927F) |
Additional Taxonomies | 208800000X Urology (Licence: WV 13862) |
Enumeration Date | 2005-10-18 |
Last Update Date | 2020-05-12 |