# UROLOGY ASSOCIATES FACILITY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Medical Information Technology Consultants
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487988671
- **Authorized official:** DR. STJEPAN GARDILCIC M.D. (MEDICAL DIRECTOR)
- **Authorized official phone:** (419) 756-4999

## Contact information

- **Practice address:** 675 BALLY ROW, MANSFIELD, OH 44906-2967
- **Practice address phone:** (419) 756-4999
- **Practice address fax:** (419) 756-4949
- **Mailing address:** 675 BALLY ROW, MANSFIELD, OH 44906-2967
- **Mailing address phone:** (419) 756-4999
- **Mailing address fax:** (419) 756-4949

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/22/2009
- **Last updated:** 09/22/2009