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Organization

UROLOGIC SURGERY ASSOCIATES, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL NORTON PITTMAN SR. (PRESIDENT)
(985) 892-3456
Entity
Organization

Contact information

Practice address
67250 INDUSTRY LN, SUITE B, COVINGTON, LA 70433-8716
(985) 892-3456
(985) 892-3499
Mailing address
67250 INDUSTRY LN, SUITE B, COVINGTON, LA 70433-8716
(985) 892-3456
(985) 892-3499

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
017324
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1942219
LA
Enumeration date
07/05/2006
Last updated
08/22/2020
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