| NPI | 1255977591 |
|---|---|
| Doing Business As | PEACEHEALTH LONGVIEW UROLOGY |
| Entity Type | Organization |
| Authorized Contact | MICHAEL CHARLES METCALF Chief Executive Phmg 360-729-1743 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208800000X Urology |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2019-11-21 |
| Last Update Date | 2019-11-27 |