OrganizationActive
Anderson Urologic Associates, P.C.
NPI 1194791509 · Urology Physician · Anderson, IN
Provider details
- NPI number
- 1194791509
- Entity type
- Organization
- Primary specialty
- Urology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Randall Blake, President(765) 643-0766
- License
- 50002645A (IN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
141 W 22nd St
Suite 213
Anderson, IN 46016-4304
Phone: (765) 643-0766
Fax: (765) 640-2353
Approximate (ZIP-level) locationGet directions
Mailing address
141 W 22nd St
Anderson, IN 46016-4304
Registry dates
- Enumerated
- 2006-02-24
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.