# ADVANCED UROLOGY MEDICAL PRACTICE OF MONTGOMERY, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ADVANCED UROLOGY MEDICAL PRACTICE OF MONTGOMERY, PLLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1881476844
- **Legal business name:** ADVANCED UROLOGY MEDICAL PRACTICE OF MONTGOMERY, PLLC
- **Authorized official:** MICHAEL RITZUS (PRACTICE MANAGER)
- **Authorized official phone:** (334) 549-2712

## Contact information

- **Practice address:** 4216 CARMICHAEL RD, MONTGOMERY, AL 36106-2804
- **Practice address phone:** (334) 612-7890
- **Mailing address:** 4216 CARMICHAEL RD, MONTGOMERY, AL 36106-2804
- **Mailing address phone:** (334) 612-7890

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332900000X | Non-Pharmacy Dispensing Site | — | NULL | Yes |

## Other

- **Enumeration date:** 10/16/2023
- **Last updated:** 10/17/2023