| NPI | 1225207152 |
|---|---|
| Doing Business As | DBA ROSEBURG UROLOGY |
| Entity Type | Organization |
| Authorized Contact | JASON GRAY President 541-677-2494 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: OR 497634-93) |
| Enumeration Date | 2008-02-25 |
| Last Update Date | 2012-04-04 |