| NPI | 1720798101 |
|---|---|
| Doing Business As | CROSSROADS UROLOGY |
| Entity Type | Organization |
| Authorized Contact | CRAIG ALAN NICHOLSON Owner 567-529-9000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208800000X Urology |
| Enumeration Date | 2022-11-28 |
| Last Update Date | 2024-11-12 |