Organization
FIRST UROLOGY, PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL SHANNON (CEO)
(812) 282-3899
Entity
Organization
Contact information
Practice address
3900 S DUPONT SQ STE C, LOUISVILLE, KY 40207-5600
(812) 282-3899
(812) 282-4172
Mailing address
101 HOSPITAL BLVD, JEFFERSONVILLE, IN 47130-3769
(812) 282-3899
(812) 282-4172
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
06/27/2023
Last updated
06/27/2023
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