Executive Urology

NPI #1649594318 in Bellevue, Ohio

Provider Information

NPI Number: 1649594318
Entity Type: Organization
Organization Name: Executive Urology
Primary Specialty: Urology
Enumeration Date: Mar 24, 2010
Last Updated: Mar 24, 2010

Practice Location

Address: 290 PROGRESS DR
Address 2: SUITE C
City: Bellevue
State: Ohio
ZIP Code: 44811-9099
Phone: (419) 484-1701

Authorized Official

Name: DR. ROBERT W RICE, MD
Title: PRESIDENT
Phone: (419) 627-8771

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Urology	208800000X	Primary

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