Organization
TRI STATE UROLOGIC SERVICES PSC
Active
Other names
THE UROLOGY GROUP
Organization subpart
No
Provider details
NPI number
Authorized official
EARL L WALZ (COO)
(513) 366-4000
Entity
Organization
Contact information
Practice address
5714 C SIGNAL DR, MILFORD, OH 45150
(513) 366-4000
(513) 366-4001
Mailing address
4700 SMITH RD, SUITE L, CINCINNATI, OH 45212-2787
(513) 366-4000
(513) 366-4001
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
08/28/2007
Last updated
08/28/2007
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