Organization
ALLIANCE AND SALEM UROLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRADFORD T BLACK MD (PRESIDENT)
(330) 823-1112
Entity
Organization
Contact information
Practice address
885 S SAWBURG AVE STE 105, ALLIANCE, OH 44601-5905
(330) 823-1112
Mailing address
885 S SAWBURG AVE STE 105, ALLIANCE, OH 44601-5905
(330) 823-1112
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
09/20/2017
Last updated
07/21/2022
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