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UROLOGY GROUP PC NPI 1730621624


NPI Information

NPI: 1730621624
Provider Name: UROLOGY GROUP PC
Classification: Urology - 208800000X
Entity Type: Organization

CLIA Number: 44D0314894

Address:
310 JUDGE SMITH DR
MARION, AR
ZIP 72364
Phone: (901) 767-8158
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UROLOGY GROUP PC is an urology in Marion, AR. 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 GROUP PC NPI is 1730621624. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

310 JUDGE SMITH DR
MARION, AR
ZIP 72364
Phone: (901) 767-8158
Fax: (901) 328-5853

The provider's authorized official is Stacy Vickers .
The authorized official title is Billing and has the following contact phone number (901) 767-8158.

The CLIA number assigned to this NPI record is 44D0314894 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 11/9/2016 and was last updated on 8/29/2018.


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
1208800000XUrology26045TENNESSEEYes

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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