Clinical Urology, INC
Specialist in Oklahoma City, OK. Organization (NPI-2).
NPI number1346320652
StatusActive
Last updated in NPPESApr 21, 2011
Details
- NPI
- 1346320652
- Entity type
- Organization (NPI-2)
- Legal business name
- Clinical Urology, INC
- Organization subpart
- No
- Enumeration date
- Oct 17, 2006
- Last updated
- Apr 21, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | 11232 | OK | Yes |
| 174400000X | Specialist | – | – |
Practice location
4200 S. Douglas Ave.Ste. 300
Oklahoma City, OK 73109
Phone 405-634-7727 · Fax 405-634-7844
Mailing address
4200 S. Douglas Ave.Ste. 300
Oklahoma City, OK 73109
Phone 405-634-7727 · Fax 405-634-7844
Authorized official
Philip Mosca
President
4056347727
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