Miami Valley Urology

NPI #1073791208 in Kettering, Ohio

Provider Information

NPI Number: 1073791208
Entity Type: Organization
Organization Name: Miami Valley Urology
Primary Specialty: Specialist
Enumeration Date: Feb 11, 2008
Last Updated: Feb 11, 2008

Practice Location

Address: 3533 SOUTHERN BLVD
Address 2: STE 3450
City: Kettering
State: Ohio
ZIP Code: 45429-1264
Phone: (937) 293-0008

Authorized Official

Name: DR. RAFAEL CRUZ, M.D.
Title: MEDICAL DOCTOR
Phone: (937) 293-0008

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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