| NPI | 1538545785 |
|---|---|
| Doing Business As | EXECUTIVE UROLOGY SPECIALISTS |
| Entity Type | Organization |
| Authorized Contact | LAURIE S DELGADO Senior Vice President, Operations 419-660-6931 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208800000X Urology |
| Enumeration Date | 2015-08-10 |
| Last Update Date | 2016-12-21 |