| NPI | 1487847638 |
|---|---|
| Doing Business As | ALTON UROLOGICAL ASSOCIATES GRANITE CITY |
| Entity Type | Organization |
| Authorized Contact | RAYMOND P DAVIDSON President 314-286-2028 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208800000X Urology |
| Enumeration Date | 2007-08-21 |
| Last Update Date | 2008-01-07 |