| NPI | 1689617722 |
|---|---|
| Doing Business As | WOOD RIVER UROLOGY |
| Entity Type | Organization |
| Authorized Contact | AMBROSE PAT MCLAUGHLIN Physician 208-726-0124 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208800000X Urology |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2008-06-25 |