| NPI | 1467176966 |
|---|---|
| Doing Business As | NARMC UROLOGY CLINIC |
| Entity Type | Organization |
| Authorized Contact | VIKKIE HENDRICKS RUFF Credentialing Coordinator 870-414-4420 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208800000X Urology |
| Enumeration Date | 2022-09-28 |
| Last Update Date | 2022-09-28 |