NPI | 1437455771 |
---|---|
Former Legal Business Name | SHOULDER AND BORDEAU UROLOGICAL ASSOCIATES |
Doing Business As | ST. CLAIR MEDICAL GROUP UROLOGY |
Entity Type | Organization |
Authorized Contact | PAMALYN PATNESKY Credentialing Specilist 412-942-2548 |
Organization Subpart ? | Yes |
Primary Taxonomy | 208800000X Urology |
Additional Taxonomies | 208800000X Urology |
Enumeration Date | 2011-02-03 |
Last Update Date | 2021-03-02 |