Organization
UROLOGY CENTER, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA FOREHEAD (ADMINISTRATOR)
(402) 397-9800
Entity
Organization
Contact information
Practice address
220 ESSIE DAVISON DR, CLARINDA, IA 51632-2915
(712) 542-8216
Mailing address
111 S 90TH ST, OMAHA, NE 68114-3907
(402) 397-9800
(402) 397-7591
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
11/28/2006
Last updated
05/10/2013
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