Individual
VICTOR SHOWALTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
509 N ELAM AVE, GREENSBORO, NC 27403-1129
(336) 274-1114
Mailing address
509 N ELAM AVE, GREENSBORO, NC 27403-1129
(336) 274-1114
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
2024-01027
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
NM
Other
Enumeration date
04/11/2019
Last updated
06/02/2024
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