| NPI | 1154155695 |
|---|---|
| Doing Business As | PARAGON UROLOGY |
| Entity Type | Organization |
| Authorized Contact | KATHY JO UECKER Credentiling 269-420-9404 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208800000X Urology |
| Enumeration Date | 2024-08-28 |
| Last Update Date | 2024-08-28 |