Organization
LIMA UROLOGY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUSSELL J TAYLOR MD (OWNER)
(419) 228-8950
Entity
Organization
Contact information
Practice address
1800 EAST FIFTH STREET, DELPHOS, OH 45833-9180
(419) 228-8950
(419) 224-7904
Mailing address
770 WEST HIGH STREET, SUITE 350, LIMA, OH 45801-5901
(419) 228-8950
(419) 224-7904
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2206759
—
OH
Enumeration date
05/25/2007
Last updated
04/01/2008
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