Organization
ADULT & PEDIATRIC UROLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EUCLID J DESOUZA M.D. (CEO)
(402) 397-7989
Entity
Organization
Contact information
Practice address
1213 GARFIELD AVE, HARLAN, IA 51537-2057
(712) 755-5161
Mailing address
PO BOX 8577, OMAHA, NE 68108-0577
(402) 397-7989
(402) 397-8703
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
03/13/2007
Last updated
08/22/2020
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