NPI | 1285061721 |
---|---|
Doing Business As | CAPITAL REGION UROLOGY |
Entity Type | Organization |
Authorized Contact | COURTNEY KNOWLES Credentialing Manager 518-525-5634 |
Organization Subpart ? | Yes |
Primary Taxonomy | 208800000X Urology |
Additional Taxonomies | 2088F0040X Urology, Urogynecology and Reconstructive Pelvic Surgery |
363A00000X Physician Assistant | |
363L00000X Nurse Practitioner | |
Enumeration Date | 2013-09-30 |
Last Update Date | 2021-02-08 |