Tri State Urologic Services Psc

NPI #1760676357 in Milford, Ohio

Provider Information

NPI Number: 1760676357
Entity Type: Organization
Organization Name: Tri State Urologic Services Psc
Primary Specialty: Urology
Enumeration Date: Aug 28, 2007
Last Updated: Aug 28, 2007

Practice Location

Address: 5714 C SIGNAL DR
City: Milford
State: Ohio
ZIP Code: 45150
Phone: (513) 366-4000

Authorized Official

Name: EARL L WALZ
Title: COO
Phone: (513) 366-4000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Urology	208800000X	Primary

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