| NPI | 1649553520 |
|---|---|
| Doing Business As | DBA NU-GENETX |
| Entity Type | Organization |
| Authorized Contact | ANTHONY RILEY WALLACE Administrator 256-490-9421 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208800000X Urology |
| Enumeration Date | 2011-09-27 |
| Last Update Date | 2011-09-27 |