UPPER MIAMI VALLEY UROLOGY CLINIC, INC. is a specialist in Piqua, 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. UPPER MIAMI VALLEY UROLOGY CLINIC, INC. NPI is 1558537704. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
9163 N COUNTY ROAD 25A
PIQUA, OH
ZIP 45356-524
Phone: (937) 773-7083
Fax: (937) 773-9716
The provider's authorized official is Virgilio A. Ponferrada .
The authorized official title is President and has the following contact phone number (937) 773-7083.
The CLIA number assigned to this NPI record is 36D0348562 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 5/7/2008 and was last updated on 5/7/2008.