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Organization
ARIZONA PEDIATRIC UROLOGY, P.C.
Active
Organization
ARIZONA PEDIATRIC UROLOGY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILIP E GLEASON MD (PEDIATRIC UROLOGIST)
(480) 391-8989
Entity
Organization
Contact information
Practice address
4614 E SHEA BLVD, D-110, PHOENIX, AZ 85028-3070
(480) 391-8989
Mailing address
PO BOX 41090, MESA, AZ 85274-1090
(480) 391-8989
Taxonomy
Speciality
Code
Description
License number
State
2088P0231X
Pediatric Urology Physician
Primary
30105
AZ
Other
Enumeration date
03/09/2007
Last updated
08/22/2020
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