Organization Name: | BLUE MOUNTAIN UROLOGY, PLLC |
NPI Number: | 1134149990 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RICHARD HENRY STEELE (MD/OWNER) |
Mailing Address: | 15 Brettwood Trce Clyde |
State: | NC US |
Postal Code: | 287218021 |
Phone Number: | 8284529700 |
Fax Number: | 8284523701 |
NPI Enumeration Date: | 07/21/2006 |
NPI Last Update Date: | 04/07/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 9600227 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NC |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy 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. |