Modern Urology, Inc.

NPI #1881799971 in Festus, Missouri

Provider Information

NPI Number: 1881799971
Entity Type: Organization
Organization Name: Modern Urology, Inc.
Primary Specialty: Specialist
Enumeration Date: Sep 13, 2006
Last Updated: Feb 2, 2009

Practice Location

Address: 1400 US HIGHWAY 61
Address 2: SUITE 250
City: Festus
State: Missouri
ZIP Code: 63028-4100
Phone: (636) 239-7559

Authorized Official

Name: DR. ERIK HOUTTUIN, M.D.
Title: PRESIDENT
Phone: (636) 239-7559

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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