| NPI | 1932329711 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHY L OWENS Office Manager 334-281-7666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2088P0231X Urology, Pediatric Urology (Licence: AL 9060) |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2015-05-20 |