Organization
GU OHIO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN RYAN GIBSON MD (OWNER)
(740) 213-7129
Entity
Organization
Contact information
Practice address
1225 WOODLAWN AVE STE 114, CAMBRIDGE, OH 43725-3094
(740) 213-7129
(440) 201-6574
Mailing address
5710 TWIN HILLS DR, ZANESVILLE, OH 43701-7849
(740) 213-7129
(440) 201-6574
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1619257508
NPI
OH
Enumeration date
02/18/2022
Last updated
03/07/2023
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