TRISTATE UROLOGIC SERVICES PSC INC NPI 1073639704

NPI Information

  • NPI: 1073639704
  • Provider Name: TRISTATE UROLOGIC SERVICES PSC INC
  • Classification: Urology - 208800000X
  • Entity Type: Organization
  • Doing Business As: THE UROLOGY GROUP
  • Address: 2123 AUBURN AVE
    SUITE 108
    CINCINNATI, OH
    ZIP 45219
  • Phone: (513) 721-7373

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NPI Details

TRISTATE UROLOGIC SERVICES PSC INC is an urology in Cincinnati, OH. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. TRISTATE UROLOGIC SERVICES PSC INC NPI is 1073639704. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As The Urology Group.

The provider's business location address is:

2123 AUBURN AVE
SUITE 108
CINCINNATI, OH
ZIP 45219-906
Phone: (513) 721-7373
Fax: (513) 977-4253

The provider's authorized official is Earl Walz .
The authorized official title is Coo and has the following contact phone number (513) 366-4000.

The enumeration date for this NPI number is 3/22/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208800000XUrologyYes

What is NPI?

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This page was last updated on: 3/30/2025

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