Anderson Urologic Associates, P.c.

NPI #1194791509 in Anderson, Indiana

Provider Information

NPI Number: 1194791509
Entity Type: Organization
Organization Name: Anderson Urologic Associates, P.c.
Primary Specialty: Urology
Enumeration Date: Feb 24, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 141 W 22ND ST
Address 2: SUITE 213
City: Anderson
State: Indiana
ZIP Code: 46016-4304
Phone: (765) 643-0766

Authorized Official

Name: RANDALL CHARLES BLAKE, M.D.
Title: PRESIDENT
Phone: (765) 643-0766

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Urology	208800000X	Primary

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