NPI 1063465003

Northwest Iowa Urologists PC

Organisation Specialist Spencer, IA

Practice location

Address: 1200 1st Ave E Suite B, Spencer, IA 51301-4342
Phone: (712) 262-6214
Fax: (712) 262-6216

Authorised official

Name: Walter Leslie Mendenhall
Title: President
Phone: (712) 262-6214

Registered specialties (3)

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 24150 (IA)

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Specialist

Other Service Providers Taxonomy 174400000X Licence 20168 (IA)

Durable Medical Equipment & Medical Supplies

Suppliers Taxonomy 332B00000X Licence 20168 (IA)

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Registry record

NPI: 1063465003
Entity type: Organization
NPI issued: 19 May 2006
Record last updated: 8 Jan 2014

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.