Organization
PEDIATRIC & ADOLESCENT UROLOGY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL R MCMAHON M.D. (PHYSICIAN)
(330) 376-3332
Entity
Organization
Contact information
Practice address
215 W BOWERY ST, SUITE 3500, AKRON, OH 44308-1069
(330) 376-3332
(330) 376-2980
Mailing address
215 W BOWERY ST, SUITE 3500, AKRON, OH 44308-1069
(330) 376-3332
(330) 376-2980
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0184894
—
OH
Enumeration date
07/12/2006
Last updated
07/21/2022
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