| NPI | 1689063067 |
|---|---|
| Doing Business As | ST DOMINIC UROLOGY |
| Entity Type | Organization |
| Authorized Contact | JENNIFER SINCLAIR President Of Sdma 601-200-6955 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208800000X Urology (Licence: MS 13524) |
| Additional Taxonomies | 208800000X Urology (Licence: MS 09524) |
| 208800000X Urology (Licence: MS 11495) | |
| Enumeration Date | 2015-01-22 |
| Last Update Date | 2016-06-17 |