NPI | 1538870134 |
---|---|
Former Legal Business Name | SPOKANE UROLOGY, P.S. |
Entity Type | Organization |
Authorized Contact | RAYMOND S. LANCE President 509-747-3147 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2022-12-06 |
Last Update Date | 2023-08-31 |