| NPI | 1356494876 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK JOSEPH SWOFFORD President Physician 606-437-9550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: KY 02625) |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2010-09-21 |