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UROLOGY PROVIDERS OF NORTHERN ARIZONA NPI 1245339811


NPI Information

NPI: 1245339811
Provider Name: UROLOGY PROVIDERS OF NORTHERN ARIZONA
Classification: Urology - 208800000X
Entity Type: Organization
Address:
450 S WILLARD ST
SUITE 105
COTTONWOOD, AZ
ZIP 86326
Phone: (928) 639-1311
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UROLOGY PROVIDERS OF NORTHERN ARIZONA is an urology in Cottonwood, AZ. The provider is 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. UROLOGY PROVIDERS OF NORTHERN ARIZONA NPI is 1245339811. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

450 S WILLARD ST
SUITE 105
COTTONWOOD, AZ
ZIP 86326-743
Phone: (928) 639-1311
Fax: (928) 639-1573

The provider's authorized official is Alex M Horchak .
The authorized official title is Physician and has the following contact phone number (928) 639-1311.

The enumeration date for this NPI number is 9/21/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208800000XUrologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1AZ0329330OTHERARIZONABCBS OF AZ

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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