NPI | 1093330698 |
---|---|
Doing Business As | SUMMIT UROLOGY ADVANCED PROSTATE CANCER CLINIC |
Entity Type | Organization |
Authorized Contact | ANNE WHITAKER Credentialing Coordinator 801-965-3505 |
Organization Subpart ? | Yes |
Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site |
Enumeration Date | 2020-06-10 |
Last Update Date | 2020-06-10 |