| NPI | 1114543204 |
|---|---|
| Doing Business As | SANTA CRUZ UROLOGY |
| Entity Type | Organization |
| Authorized Contact | CECIE MAVIS Billing Manager/Office Manager 520-761-3103 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208800000X Urology |
| Enumeration Date | 2020-06-24 |
| Last Update Date | 2020-06-24 |