Organization
UROLOGIST INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH CHRISTOPHER KASSIS M.D. (PRESIDENT)
(304) 623-1581
Entity
Organization
Contact information
Practice address
600 DAVISSON RUN RD STE 201, CLARKSBURG, WV 26301-9307
(304) 623-1581
Mailing address
600 DAVISSON RUN RD STE 201, CLARKSBURG, WV 26301-9307
(304) 623-1581
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
12120
WV
Other
Enumeration date
09/07/2007
Last updated
09/07/2007
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