Organization
SPRINGFIELD UROLOGY LLC
Active
Other names
Urology Specialists Of Ohio
Organization subpart
No
Provider details
NPI number
Authorized official
ANANTH ANNAMRAJU MD (PHYSICIAN IN CHARGE)
(937) 342-9260
Entity
Organization
Contact information
Practice address
2365 LAKEVIEW DR STE C, BEAVERCREEK, OH 45431-3639
(937) 342-9260
(937) 342-9262
Mailing address
2365 LAKEVIEW DR STE C, BEAVERCREEK, OH 45431-3639
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
12/18/2024
Last updated
12/18/2024
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