| NPI | 1225578511 |
|---|---|
| Doing Business As | NORTHERN UROLOGY |
| Entity Type | Organization |
| Authorized Contact | PAMELA R SMITH Credentialing And Contracting COO Rd 336-783-8911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208800000X Urology |
| Enumeration Date | 2017-03-06 |
| Last Update Date | 2021-03-08 |