Organization
MIDWEST UROLOGY CENTER, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROGER H SCHOENFELD DO (PHYSICIAN)
(417) 781-7220
Entity
Organization
Contact information
Practice address
1905 W 32ND ST STE 302, JOPLIN, MO 64804-1512
(417) 781-7220
(417) 781-5512
Mailing address
PO BOX 2220, JOPLIN, MO 64803-2220
(417) 781-7220
(417) 781-5512
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA4695
MEDICARE GROUP PTAN
—
01
—
MA4695001
MEDICARE PROVIDER PTAN
—
Enumeration date
08/08/2013
Last updated
01/08/2014
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