Organization
SCOTTSBLUFF UROLOGY ASSOC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN N. KABALIN M.D. (PRESIDENT)
(308) 632-5315
Entity
Organization
Contact information
Practice address
3911 AVENUE B, 2200, SCOTTSBLUFF, NE 69361-4617
(308) 632-5315
(308) 632-5261
Mailing address
3911 AVENUE B, 2200, SCOTTSBLUFF, NE 69361-4617
(308) 632-5315
(308) 632-5261
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102713100
—
WY
Enumeration date
07/05/2006
Last updated
10/07/2014
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