| NPI | 1669297941 |
|---|---|
| Doing Business As | CROSSROADS UROLOGY |
| Entity Type | Organization |
| Authorized Contact | KELLY ELAINE BOWERS COO/Cco 567-529-9000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site |
| Enumeration Date | 2024-11-20 |
| Last Update Date | 2024-11-20 |