Organization Name: | ADVANCED PELVIC SURGERY, LLC |
NPI Number: | 1922273291 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ROBERT GREGORY OWENS (PRESIDENT) |
Mailing Address: | 6770 Cincinnati Dayton Rd Liberty Township |
State: | OH US |
Postal Code: | 450449337 |
Phone Number: | 5139427640 |
Fax Number: | |
NPI Enumeration Date: | 04/28/2008 |
NPI Last Update Date: | 05/28/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207VG0400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | Gynecology |
Taxonomy Definition: |