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ARIZONA UROLOGY CENTER PLLC NPI 1700069952


NPI Information

NPI: 1700069952
Provider Name: ARIZONA UROLOGY CENTER, PLLC
Classification: Urology - 208800000X
Entity Type: Organization
Address:
3410 CANYON DE FLORES
SUITE B
SIERRA VISTA, AZ
ZIP 85650
Phone: (520) 803-0676
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ARIZONA UROLOGY CENTER, PLLC is an urology in Sierra Vista, 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. ARIZONA UROLOGY CENTER, PLLC NPI is 1700069952. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3410 CANYON DE FLORES
SUITE B
SIERRA VISTA, AZ
ZIP 85650-372
Phone: (520) 803-0676

The provider's authorized official is Ann Wolk .
The authorized official title is Office Manager and has the following contact phone number (520) 803-0676.

The enumeration date for this NPI number is 12/11/2007 and was last updated on 2/29/2008.


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
1208800000XUrology33318ARIZONAYes

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
1E62801MEDICARE UPINARIZONA
2890790MEDICAIDARIZONA
3119707MEDICARE PINARIZONA

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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