Organization
THE UROLOGY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EARL L WALZ (CEO)
(513) 841-7400
Entity
Organization
Contact information
Practice address
2000 JOSEPH E SANKER BLVD, CINCINNATI, OH 45212-1979
(513) 841-7475
(513) 841-7401
Mailing address
2000 JOSEPH E SANKER BLVD, CINCINNATI, OH 45212-1979
(513) 841-7475
(513) 841-7401
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
1038AS
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2086479
—
OH
05
—
36000966
—
KY
01
—
490003987
RAILROAD MEDICARE
OH
Enumeration date
08/05/2006
Last updated
08/05/2014
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