| NPI | 1154861334 |
|---|---|
| Doing Business As | SBL UROLOGY |
| Entity Type | Organization |
| Authorized Contact | DENNIS PLUARD VP Of Operations 217-258-2102 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208800000X Urology |
| Enumeration Date | 2017-03-07 |
| Last Update Date | 2017-03-07 |