| NPI | 1518654110 |
|---|---|
| Doing Business As | ADVANCED UROLOGY OF MONTGOMERY |
| Entity Type | Organization |
| Authorized Contact | BRIAN EUGENE RICHARDSON Owner 334-612-7890 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208800000X Urology |
| Enumeration Date | 2023-04-24 |
| Last Update Date | 2023-10-17 |