Dr ROGER GUSTAVO AMIGO is a male medical professional, specializing in Urology. He graduated in 1989 from Ohio University Of Osteo Medicine.
MARY RUTAN HOSPITAL
1880 E US HWY 36
URBANA
OH
430789600
Tel: 9378870164
| Npi | 1982603668 |
| Pac Id | 0749275865 |
| Professional Enrollment Id | I20100810000055 |
| Last Name | AMIGO |
| First Name | ROGER |
| Middle Name | GUSTAVO |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | OHIO UNIVERSITY OF OSTEO MEDICINE |
| Graduation Year | 1989 |
| Primary Specialty | UROLOGY |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | MARY RUTAN HOSPITAL |
| Group Practice Pac Id | 9032013792 |
| Number Of Group Practice Members | 59 |
| Line 1 Street Address | 1880 E US HWY 36 |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | URBANA |
| State | OH |
| Zip Code | 430789600 |
| Phone Number | 9378870164 |
| Hospital Affiliation Ccn 1 | 360197 |
| Hospital Affiliation Lbn 1 | MARY RUTAN HOSPITAL |
| Hospital Affiliation Ccn 2 | 361315 |
| Hospital Affiliation Lbn 2 | HARDIN MEMORIAL HOSPITAL |
| Hospital Affiliation Ccn 3 | |
| Hospital Affiliation Lbn 3 | |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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