| NPI | 1760418396 |
|---|---|
| Doing Business As | UROLOGY CLINIC |
| Entity Type | Organization |
| Authorized Contact | JON BRADLEY JOHNSON Physician Owner 318-387-9420 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208800000X Urology |
| Additional Taxonomies | 208800000X Urology (Licence: LA 013314) |
| Enumeration Date | 2006-06-24 |
| Last Update Date | 2012-10-19 |