CENTRAL MISSOURI UROLOGY CLINIC, INC is a specialist in Rolla, MO. The provider is 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. CENTRAL MISSOURI UROLOGY CLINIC, INC NPI is 1710940630. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
1428 EAST 72 HIGHWAY
ROLLA, MO
ZIP 65401
Phone: (573) 364-1014
Fax: (573) 364-6872
The provider's authorized official is Anthony Thomas Kaczmarek .
The authorized official title is President Urologist and has the following contact phone number (573) 364-1014.
The CLIA number assigned to this NPI record is 26D0713155 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).
The enumeration date for this NPI number is 4/11/2006 and was last updated on 6/29/2010.