| NPI | 1619221637 |
|---|---|
| Doing Business As | MCIVER UROLOGICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | MITCHELL D TERK Director 904-309-8680 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208800000X Urology |
| Enumeration Date | 2012-10-29 |
| Last Update Date | 2012-10-29 |