| NPI | 1497892673 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL GALLENTINE Urologist Sole Proprietor Owner 719-393-2137 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: NE 20757) |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2020-08-22 |