Organization
UROLOGY ASSOCIATES, P.C.
Active
Other names
Glacier Men's Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN ANDENORO MD (CO-OWNER/ PHYSICIAN)
(406) 758-0624
Entity
Organization
Contact information
Practice address
350 HERITAGE WAY STE 2300, KALISPELL, MT 59901-3167
(406) 752-8456
(406) 752-1443
Mailing address
350 HERITAGE WAY STE 2300, KALISPELL, MT 59901-3167
(406) 752-8456
(406) 752-1443
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000080612
MEDICARE PTAN
—
Enumeration date
03/29/2016
Last updated
03/29/2016
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