| NPI | 1659885754 |
|---|---|
| Doing Business As | PROVIDENCE UROLOGY SPECIALISTS |
| Entity Type | Organization |
| Authorized Contact | SARA L MILLER Director 615-920-7514 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208800000X Urology |
| Additional Taxonomies | 2085R0001X Radiology Radiation Oncology |
| Enumeration Date | 2017-11-28 |
| Last Update Date | 2018-12-17 |