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Alliance And Salem Urology LLC

Urology in Alliance, OH. Organization (NPI-2).

NPI number1982113197
StatusActive
Last updated in NPPESJul 21, 2022

Details

NPI
1982113197
Entity type
Organization (NPI-2)
Legal business name
Alliance And Salem Urology LLC
Organization subpart
No
Enumeration date
Sep 20, 2017
Last updated
Jul 21, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208800000X Urology––Yes

Practice location

885 S Sawburg Ave Ste 105
Alliance, OH 44601-5905

Phone 330-823-1112

Mailing address

885 S Sawburg Ave Ste 105
Alliance, OH 44601-5905

Phone 330-823-1112

Authorized official

Bradford T Black
President
3308231112

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