Organization
BELIS UROLOGIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WENDY J BOYLES (OFFICE MANAGER)
(814) 946-1259
Entity
Organization
Contact information
Practice address
2500 5TH STREET, ALTOONA, PA 16601-3812
(814) 946-1259
Mailing address
2500 5TH ST, ALTOONA, PA 16601-3812
(814) 946-1259
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MDO2657OE
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0009267120004
—
PA
Enumeration date
11/15/2006
Last updated
08/22/2020
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