Organization
WESTSIDE UROLOGY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT I LEWIS D.O. (OWNER)
(614) 878-0077
Entity
Organization
Contact information
Practice address
108 N MURRAY HILL RD, COLUMBUS, OH 43228-1524
(614) 878-0077
(614) 870-9117
Mailing address
108 N MURRAY HILL RD, COLUMBUS, OH 43228-1524
(614) 878-0077
(614) 870-9117
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0280
MUTUAL OF OMAHA
—
05
—
0487941
—
OH
01
—
1466066
UMWA
—
01
—
189401948005
MEDICAL MUTUAL OF OHIO
OH
01
—
1900129
UHC
—
01
—
4391061
AETNA
OH
Enumeration date
10/31/2007
Last updated
04/20/2008
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