| NPI | 1205906047 |
|---|---|
| Former Legal Business Name | BANOWSKY FITCH & ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | TAMI HEFNER Billing Manager 618-927-7644 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: TX D5728) |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2024-07-04 |