Organization
MIAMI VALLEY UROLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAFAEL CRUZ M.D. (MEDICAL DOCTOR)
(937) 293-0008
Entity
Organization
Contact information
Practice address
3533 SOUTHERN BLVD, STE 3450, KETTERING, OH 45429-1264
(937) 293-0008
Mailing address
3533 SOUTHERN BLVD, STE 3450, KETTERING, OH 45429-1264
(937) 293-0008
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
35034095C
OH
Other
Enumeration date
02/11/2008
Last updated
02/11/2008
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