| NPI | 1457087926 |
|---|---|
| Doing Business As | UROLOGY SURGERY CENTER NORTHWEST |
| Entity Type | Organization |
| Authorized Contact | REXFORD HACKNEY Administrator 509-245-6858 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Additional Taxonomies | 208800000X Urology |
| Enumeration Date | 2022-07-27 |
| Last Update Date | 2024-04-22 |