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Modern Urology, Inc.
Specialist in Festus, Missouri
NPI 1881799971

Modern Urology, Inc. is a Specialist based in Festus, MO. Modern Urology, Inc. practices in Festus, MO. The NPI Number for Modern Urology, Inc. is 1881799971 and holds a License No. 35745 (Missouri).

The current practice location address for Modern Urology, Inc. is 1400 Us Highway 61, Festus, MO and can be reached out via phone at 636-239-7559 and via fax at 636-239-6947.

Location: 1400 Us Highway 61, Festus, MO, 63028-4100
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1881799971
Provider Name
Modern Urology, Inc.
Credential
Provider Entity Type
Organization
Address
1400 Us Highway 61, Festus, MO, 63028-4100
Phone Number
636-239-7559
Fax Number
636-239-6947
Provider Enumeration Date
09/13/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
505763607 05 MO
505763615 05 MO
200000107 05 MO
institution
Provider Business Practice Location Address Details
Address
1400 Us Highway 61
City
Festus
State
Missouri
Zip
63028-4100
Phone Number
636-239-7559
Fax Number
636-239-6947
person
Provider Business Mailing Address Details
Address
1400 Us Highway 61
City
Festus
State
Missouri
Zip
63028-4100
Phone Number
636-239-7559
Fax Number
636-239-6947
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
35745 (Missouri)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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