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Organization
UROLOGICAL ASSOCIATES PC
Active
Organization
UROLOGICAL ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATRINA MAE MASAKOWSKI (BUSINESS OFFICE MGR)
(563) 359-1716
Entity
Organization
Contact information
Practice address
3319 SPRING ST, DAVENPORT, IA 52807-2125
(563) 359-1716
(563) 359-4634
Mailing address
3319 SPRING ST, DAVENPORT, IA 52807-2125
(563) 359-1716
(563) 359-4634
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
—
—
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0073643
—
IA
Enumeration date
06/10/2021
Last updated
06/10/2021
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