Alexandria Urology P.c.

NPI #1083898779 in Waterloo, Iowa

Provider Information

NPI Number: 1083898779
Entity Type: Organization
Organization Name: Alexandria Urology P.c.
Primary Specialty: Urology
Enumeration Date: Dec 18, 2007
Last Updated: Dec 18, 2007

Practice Location

Address: 112 PARK LANE
Address 2: ROOM 5
City: Waterloo
State: Iowa
ZIP Code: 50701
Phone: (319) 234-2649

Authorized Official

Name: DR. ROBERT EUGENE GLESNE, M.D.
Title: PRESIDENT
Phone: (319) 234-2649

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Urology	208800000X	Primary

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