| NPI | 1114782596 |
|---|---|
| Doing Business As | PACIFIC WEST UROLOGY |
| Entity Type | Organization |
| Authorized Contact | JOEL ABBOTT Owner/Physician 702-715-4155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site |
| Enumeration Date | 2024-02-15 |
| Last Update Date | 2024-02-15 |