Organization
OLYMPIC UROGYNECOLOGY, LLC
Active
Organization
OLYMPIC UROGYNECOLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COSTAS A APOSTOLIS MD (MEDICAL DIRECTOR)
(330) 953-3414
Entity
Organization
Contact information
Practice address
3009 SMITH RD STE 400, FAIRLAWN, OH 44333-2670
(330) 953-3414
(877) 753-3179
Mailing address
3009 SMITH RD STE 400, FAIRLAWN, OH 44333-2670
(330) 953-3414
(877) 753-3179
Taxonomy
Speciality
Code
Description
License number
State
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
Primary
35099119
OH
207VG0400X
Gynecology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0228002
—
OH
Enumeration date
03/20/2017
Last updated
07/21/2022
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