| NPI | 1396758553 |
|---|---|
| Former Legal Business Name | ADVANCED UROLOGY ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | RICHARD GERALD HARRIS CEO 708-450-5055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208800000X Urology |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2023-08-18 |