NPI | 1558793109 |
---|---|
Doing Business As | AFFINITY UROLOGY CLINIC |
Entity Type | Organization |
Authorized Contact | MIKE BREARD Vice President 318-361-0900 |
Organization Subpart ? | No |
Primary Taxonomy | 208800000X Urology |
Enumeration Date | 2013-08-06 |
Last Update Date | 2021-07-21 |