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Organization

NORTHWEST UROLOGY CLINIC INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
EVA SAMTMANN (ADMINISTRATOR)
(360) 424-7991
Entity
Organization

Contact information

Practice address
1311 E DIVISION ST, MOUNT VERNON, WA 98274-4134
(360) 424-7991
(360) 424-5441
Mailing address
1311 E DIVISION ST, MOUNT VERNON, WA 98274-4134
(360) 424-7991
(360) 424-5441

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary

Other

Enumeration date
09/14/2005
Last updated
09/06/2007
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