| NPI | 1386981488 |
|---|---|
| Other Name | UROLOGY BOONE MEMORIAL |
| Entity Type | Organization |
| Authorized Contact | JEFFREY H. GOODE President 304-388-7782 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208800000X Urology |
| Enumeration Date | 2013-01-09 |
| Last Update Date | 2013-01-09 |