AULTMAN MEDICAL GROUP INC NPI 1164795795

NPI Information

AULTMAN MEDICAL GROUP, INC is an urology in Canton, 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. AULTMAN MEDICAL GROUP, INC NPI is 1164795795. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2600 SIXTH ST SW
CANTON, OH
ZIP 44710-702
Phone: (330) 452-9911

The provider's authorized official is Thomas F Boggs .
The authorized official title is President and has the following contact phone number (330) 452-9911.

The enumeration date for this NPI number is 2/13/2012 and was last updated on 2/13/2012.

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:

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