Organization
CILINICAL UROLOGY ASSOCIATES, P.C.
Active
Parent organization
CLINICAL UROLOGY ASSOCIATES, P.C.
Other names
Clinical Urology associates, P.C., Clinical Urology associates, PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
CLINICAL UROLOGY ASSOCIATES, P.C.
Authorized official
KOURTNEY MAYO (CREDENTIALING)
(256) 492-4040
Entity
Organization
Contact information
Practice address
2110 GLENN BLVD SW, FORT PAYNE, AL 35968-3527
(256) 492-4040
(256) 492-4017
Mailing address
713 GOODYEAR AVE, GADSDEN, AL 35903-1156
(256) 492-4040
(256) 492-4017
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
11/16/2023
Last updated
07/16/2024
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