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Individual

DR. GALEN R WARREN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2123 AUBURN AVE, CINCINNATI, OH 45219-2906
(513) 721-7373
(513) 977-4253
Mailing address
237 WILLIAM HOWARD TAFT, PHYS DIV, 2ND FL, CBO2-3, ATTN: CREDENTIALING, CINCINNATI, OH 45219-2910
(513) 263-8571
(513) 366-4480

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
030194
OH
208800000X
Urology Physician
Primary
35.030194
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0195524
OH
Enumeration date
08/10/2005
Last updated
04/11/2017
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