Organization
TRI STATE UROLOGIC SERVICES PSC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EARL L WALZ (CEO)
(513) 841-7404
Entity
Organization
Contact information
Practice address
7529 STATE RD STE B, CINCINNATI, OH 45255-6410
(513) 841-7474
(513) 841-7401
Mailing address
2000 JOSEPH E SANKER BLVD, CINCINNATI, OH 45212-1979
(513) 841-7404
(513) 841-7402
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
04/03/2019
Last updated
04/03/2019
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