Northwest Urology Clinic INC

NPI #1407841562 in Mount Vernon, Washington

Provider Information

NPI Number: 1407841562
Entity Type: Organization
Organization Name: Northwest Urology Clinic INC
Primary Specialty: Urology
Enumeration Date: Sep 14, 2005
Last Updated: Sep 6, 2007

Practice Location

Address: 1311 E DIVISION ST
City: Mount Vernon
State: Washington
ZIP Code: 98274-4134
Phone: (360) 424-7991

Authorized Official

Name: EVA SAMTMANN
Title: ADMINISTRATOR
Phone: (360) 424-7991

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Urology	208800000X	Primary

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