| NPI | 1184947566 |
|---|---|
| Doing Business As | PEDIATRIC UROLOGY ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | DANIEL L WIENS Senior Vice President Operations 704-355-0648 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2088P0231X Urology Pediatric Urology |
| Enumeration Date | 2010-03-12 |
| Last Update Date | 2010-03-12 |