| NPI | 1831357979 |
|---|---|
| Doing Business As | CENTRA MEDICAL GROUP UROLOGH |
| Entity Type | Organization |
| Authorized Contact | LEWIS ADDISON Sr VP CFO 434-200-5047 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208800000X Urology |
| Enumeration Date | 2008-05-27 |
| Last Update Date | 2014-04-10 |