PEDIATRIC & ADOLESCENT UROLOGY INC. NPI 1386669299

NPI Information

PEDIATRIC & ADOLESCENT UROLOGY, INC. is a specialist in Akron, OH. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. PEDIATRIC & ADOLESCENT UROLOGY, INC. NPI is 1386669299. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

215 W BOWERY ST
SUITE 3500
AKRON, OH
ZIP 44308-069
Phone: (330) 376-3332
Fax: (330) 376-2980

The provider's authorized official is Daniel R Mcmahon .
The authorized official title is Physician and has the following contact phone number (330) 376-3332.

The CLIA number assigned to this NPI record is 36D2177818 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/12/2006 and was last updated on 7/21/2022.

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:

Other Identifiers

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