NPI 1003949918
Adult & Pediatric Urology PC
Practice location
- Address
- 1213 Garfield Ave, Harlan, IA 51537-2057
- Phone
- (712) 755-5161
- Mailing address
- PO Box 8577, Omaha, NE 68108-0577
Authorised official
- Name
- Euclid J Desouza
- Title
- Ceo
- Phone
- (402) 397-7989
Registered specialties
Urology Physician
Primary
Registry record
- NPI
- 1003949918
- Entity type
- Organization
- NPI issued
- 13 Mar 2007
- Record last updated
- 22 Aug 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.