Urology Assoc of Decatur Ltd

NPI #1699879718 in Decatur, Illinois

Provider Information

NPI Number
1699879718
Entity Type
Organization
Organization Name
Urology Assoc of Decatur Ltd
Primary Specialty
Urology
Enumeration Date
Sep 11, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
302 W HAY ST
Address 2
SUITE 200
ZIP Code
62526
Phone
(217) 877-8925

Authorized Official

Name
JEFFREY R CANHAM, MD
Title
PRESIDENT
Phone
(217) 877-8925

Specialties & Taxonomy Codes

Specialty
Urology

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