Organization
CANTON UROLOGY ASSOCIATION,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE WESLEY KMETZ MD (PRESIDENT)
(330) 458-2000
Entity
Organization
Contact information
Practice address
2600 TUSCARAWAS ST W STE 400, CANTON, OH 44708-4698
(330) 458-2000
(330) 458-2010
Mailing address
2600 W TUSCARAWAS, SUITE 400, CANTON, OH 44708
(330) 458-2000
(330) 458-2010
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0223350
—
OH
Enumeration date
07/17/2006
Last updated
07/21/2022
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