| NPI | 1457529786 |
|---|---|
| Doing Business As | MCIVER UROLOGICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | ROBERT J PHELAN Executive Director 904-363-2113 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208800000X Urology |
| Enumeration Date | 2008-02-20 |
| Last Update Date | 2009-03-19 |