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INTEGRATIVE UROLOGY PLLC NPI 1497397814


NPI Information

NPI: 1497397814
Provider Name: INTEGRATIVE UROLOGY PLLC
Classification: Urology - 208800000X
Entity Type: Organization

CLIA Number: 03D2175595

Address:
2222 E HIGHLAND AVE STE 206
PHOENIX, AZ
ZIP 85016
Phone: (602) 900-8003
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INTEGRATIVE UROLOGY PLLC is an urology in Phoenix, 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. INTEGRATIVE UROLOGY PLLC NPI is 1497397814. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2222 E HIGHLAND AVE STE 206
PHOENIX, AZ
ZIP 85016-876
Phone: (602) 900-8003
Fax: (602) 900-8580

The provider's authorized official is Yoon Mark Hong .
The authorized official title is Member Manager and has the following contact phone number (480) 560-1940.

The CLIA number assigned to this NPI record is 03D2175595 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/17/2019 and was last updated on 10/17/2019.


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

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: 11/14/2023

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