Organization · Type 2 NPI

Licking Memorial Professional Corporation

Urology Physician · Newark, OH

NPI number 1508086554 Active

Practice location

1272 West Main Street, Bldg 4
Newark, OH 43055-2004

Call (740) 348-1750 Map

Fax (740) 348-1751

Specialties and licenses

TaxonomyCodeLicense
Urology Physician Primary 208800000XNone listed

Urology Physician: 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.

4 other providers at this address

About NPI 1508086554

Licking Memorial Professional Corporation's National Provider Identifier is 1508086554, issued on May 1, 2007. The primary taxonomy on file is Urology Physician (208800000X), and the practice location is in Newark, OH. The record was last updated on Aug 3, 2011.