NPI | 1346050309 |
---|---|
Doing Business As | CROSSROADS UROLOGY |
Entity Type | Organization |
Authorized Contact | KELLY ELAINE BOWERS Chief Operating Officer 567-529-9000 |
Organization Subpart ? | Yes |
Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site |
Enumeration Date | 2025-01-11 |
Last Update Date | 2025-01-11 |