ADULT & PEDIATRIC UROLOGY, LLC

FARMINGTON, NM
NPI1710190350
Entity TypeOrganization
Authorized ContactALLEN W MCCULLOCH
Owner
505-327-9111
Organization Subpart ?No
Primary Taxonomy208800000X Urology
(Licence: NM  87115)
Enumeration Date2007-05-08
Last Update Date2020-08-22
Business Address
ADULT & PEDIATRIC UROLOGY, LLC
2300 E 30TH ST BLDG B SUITE 106
FARMINGTON, NM 87401-8990
Phone number: 505-327-9111
Mailing Address
ADULT & PEDIATRIC UROLOGY, LLC
2300 E 30TH ST BLDG B SUITE 106
FARMINGTON, NM 87401-8990
Phone number: 505-327-9111
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