Alliance and Salem Urology LLC
Organization Active NPI Urology Physician · Alliance, OH
NPI 1982113197 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1982113197
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Urology Physician 208800000X
- Legal business name
- ALLIANCE AND SALEM UROLOGY LLC
- Practice address
- 885 S Sawburg Ave Ste 105
Alliance, OH 44601-5905 - Phone
- (330) 823-1112
- NPI assigned
- Sep 20, 2017
- Organization subpart
- No
Authorized official
- Name
- Dr. Bradford T Black, MD
- Title
- President
- Phone
- (330) 823-1112
National Provider Directory
Locations
885 S Sawburg Ave
Ste 105
Alliance, OH 44601
Phone (330) 823-1112
2360 Southeast Blvd
Salem, OH 44460
Phone (330) 337-1134
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician |
208800000X | Yes |
Addresses
Primary practice location
885 S Sawburg Ave Ste 105
Alliance, OH 44601-5905
Mailing address
885 S Sawburg Ave Ste 105
Alliance, OH 44601-5905
Phone (330) 823-1112
Other providers in Alliance, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.