| NPI | 1285917765 |
|---|---|
| Doing Business As | STOCKRIDGE MEN'S MEDCENTER |
| Entity Type | Organization |
| Authorized Contact | DENNIS K KATZ Sole Member 913-553-4614 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208800000X Urology |
| Enumeration Date | 2011-09-21 |
| Last Update Date | 2012-05-25 |