NPI | 1912015439 |
---|---|
Former Legal Business Name | SPOKANE UROLOGY, PS |
Entity Type | Organization |
Authorized Contact | RAYMOND LANCE President 509-747-3147 |
Organization Subpart ? | No |
Primary Taxonomy | 208800000X Urology |
Additional Taxonomies | 2085R0204X Radiology, Vascular & Interventional Radiology |
332900000X Non-Pharmacy Dispensing Site | |
332B00000X Durable Medical Equipment & Medical Supplies | |
Enumeration Date | 2006-08-25 |
Last Update Date | 2024-10-29 |