| NPI | 1861801078 |
|---|---|
| Doing Business As | ADVANCED UROLOGY |
| Entity Type | Organization |
| Authorized Contact | LYNNETTA FAITH PAYNE Owner 304-461-3879 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: WV 2330) |
| Enumeration Date | 2014-08-13 |
| Last Update Date | 2014-09-19 |