Organization
STATE COLLEGE UROLOGIC ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ELAINE MEYER (ACCOUNT COORDINATOR)
(814) 272-3148
Entity
Organization
Contact information
Practice address
905 UNIVERSITY DR, STATE COLLEGE, PA 16801-6626
(814) 238-8418
(814) 234-2888
Mailing address
905 UNIVERSITY DR, STATE COLLEGE, PA 16801-6626
(814) 238-8418
(814) 234-2888
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0006452570001
—
PA
Enumeration date
05/27/2006
Last updated
08/02/2010
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