Organization
INTEGRATED GROUP PRACTICE PENNSYLVANIA, P.C.
Active
Organization
INTEGRATED GROUP PRACTICE PENNSYLVANIA, P.C.
Active
Other names
Urology Specialists of America
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID R HAFLER (CHIEF ADMINISTRATIVE OFFICER)
(614) 298-8150
Entity
Organization
Contact information
Practice address
3000 STONEWOOD DR, SUITE 200, WEXFORD, PA 15090-8317
(614) 298-8150
(614) 299-2827
Mailing address
100 W. THIRD AVENUE, SUITE 350, COLUMBUS, OH 43201-7205
(614) 298-8150
(614) 299-2827
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
01/21/2011
Last updated
02/15/2011
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