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ARIZONA UROLOGY AND INFERTILITY NPI 1912938655


NPI Information

NPI: 1912938655
Provider Name: ARIZONA UROLOGY AND INFERTILITY
Classification: Urology - 208800000X
Entity Type: Organization

CLIA Number: 03D2110528

Address:
5757 W THUNDERBIRD RD
GLENDALE, AZ
ZIP 85306
Phone: (602) 395-0718
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ARIZONA UROLOGY AND INFERTILITY is an urology in Glendale, 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 AND INFERTILITY NPI is 1912938655. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5757 W THUNDERBIRD RD
GLENDALE, AZ
ZIP 85306-641
Phone: (602) 395-0718
Fax: (602) 277-8146

The provider's authorized official is Paul M Block, Md .
The authorized official title is Administrator/owner and has the following contact phone number (602) 395-0718.

The CLIA number assigned to this NPI record is 03D2110528 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/5/2006 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
1208800000XUrology13694ARIZONAYes

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
1AZ0038490OTHERAMERICAN SAMOABLUE CROSS BLUE SHIELD
2238825MEDICAIDARIZONA

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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