| NPI | 1174005102 |
|---|---|
| Doing Business As | UNIVERSITY UROLOGY |
| Entity Type | Organization |
| Authorized Contact | ERICA MADISON Credentialing 251-318-2681 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Enumeration Date | 2018-09-06 |
| Last Update Date | 2021-04-29 |