# ARIZONA PEDIATRIC UROLOGY, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508998147
- **Authorized official:** DR. PHILIP E GLEASON MD (PEDIATRIC UROLOGIST)
- **Authorized official phone:** (480) 391-8989

## Contact information

- **Practice address:** 4614 E SHEA BLVD, D-110, PHOENIX, AZ 85028-3070
- **Practice address phone:** (480) 391-8989
- **Mailing address:** PO BOX 41090, MESA, AZ 85274-1090
- **Mailing address phone:** (480) 391-8989

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2088P0231X | Pediatric Urology Physician | 30105 | AZ | Yes |

## Other

- **Enumeration date:** 03/09/2007
- **Last updated:** 08/22/2020