NPI 1124156336

Advanced Urology LLC

Organisation Specialist Indianapolis, IN

Practice location

Address: 8091 Township Line Rd Suite 109, Indianapolis, IN 46260-2494
Phone: (317) 802-9900
Fax: (317) 802-9911

Authorised official

Name: James Andrew Dugan
Title: Ceo
Phone: (317) 802-9900

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 01051162A (IN)

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Registry record

NPI: 1124156336
Entity type: Organization
NPI issued: 1 Mar 2007
Record last updated: 24 Jun 2010

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.