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Organization
MEDICAL INFORMATION TECHNOLOGY CONSULTANTS
Active
Organization
MEDICAL INFORMATION TECHNOLOGY CONSULTANTS
Active
Other names
Urology Associates Facility
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVE GARDILCIC M.D. (CEO)
(419) 756-4999
Entity
Organization
Contact information
Practice address
675 BALLY ROW, MANSFIELD, OH 44906-2967
(419) 756-4999
(419) 756-4949
Mailing address
675 BALLY ROW, MANSFIELD, OH 44906-2967
(419) 756-4999
(419) 756-4949
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
Other
Enumeration date
10/02/2007
Last updated
10/02/2007
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