Organization
CLINICAL UROLOGY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHILIP MOSCA MD (PRESIDENT)
(405) 634-7727
Entity
Organization
Contact information
Practice address
4200 S. DOUGLAS AVE., STE. 300, OKLAHOMA CITY, OK 73109
(405) 634-7727
(405) 634-7844
Mailing address
4200 S. DOUGLAS AVE., STE. 300, OKLAHOMA CITY, OK 73109
(405) 634-7727
(405) 634-7844
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
11232
OK
174400000X
Specialist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200051540A
—
OK
Enumeration date
10/17/2006
Last updated
04/21/2011
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