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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