| NPI | 1811918444 |
|---|---|
| Doing Business As | RIVERSIDE WALTER REED UROLOGY |
| Entity Type | Organization |
| Authorized Contact | MICHAEL J DOUCETTE Vice President 757-594-4006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208800000X Urology |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2020-08-22 |