| NPI | 1346561289 |
|---|---|
| Doing Business As | OKALOOSA-WALTON UROLOGY |
| Entity Type | Organization |
| Authorized Contact | DIANNA HARRISON Sr. Director Of Provider Relations 239-931-7342 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208800000X Urology |
| Additional Taxonomies | 208D00000X General Practice |
| Enumeration Date | 2010-06-15 |
| Last Update Date | 2025-02-03 |