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Organization
UROLOGICAL SURGERY ASSOCIATES PLLC
Active
Organization
UROLOGICAL SURGERY ASSOCIATES PLLC
Active
Other names
Urology Associates of Ms.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK A CONDON M.D. (OWNER)
(601) 936-4645
Entity
Organization
Contact information
Practice address
294 E LAYFAIR DR, FLOWOOD, MS 39232-9526
(601) 936-4645
Mailing address
294 E LAYFAIR DR, FLOWOOD, MS 39232-9526
(601) 936-4645
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9014795
—
MS
Enumeration date
10/18/2006
Last updated
06/01/2015
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