| NPI | 1366065674 |
|---|---|
| Doing Business As | SOUTH DENVER UROLOGY CENTER |
| Entity Type | Organization |
| Authorized Contact | TODD MASTEN Partner 843-819-8995 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Additional Taxonomies | 208800000X Urology |
| Enumeration Date | 2020-05-20 |
| Last Update Date | 2021-12-28 |