Organization
BOONE UROLOGY CENTER, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY PITTS M.D. (PRESIDENT)
(828) 264-5150
Entity
Organization
Contact information
Practice address
935 STATE FARM RD, BOONE, NC 28607-4948
(828) 264-5150
(828) 265-3611
Mailing address
935 STATE FARM RD, BOONE, NC 28607-4948
(828) 264-5150
(828) 265-3611
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0102P
BLUE CROSS GROUP #
NC
Enumeration date
09/21/2006
Last updated
07/01/2008
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