Organization
ALEXANDRIA UROLOGY P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT EUGENE GLESNE M.D. (PRESIDENT)
(319) 234-2649
Entity
Organization
Contact information
Practice address
112 PARK LANE, ROOM 5, WATERLOO, IA 50701
(319) 234-2649
(319) 233-2430
Mailing address
112 PARK LANE, WATERLOO, IA 50701-1514
(319) 234-2649
(319) 233-2430
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
12/18/2007
Last updated
12/18/2007
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