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 |