# YAKIMA UROLOGY ASSOCIATES PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Yakima Urology Surgery Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720075864
- **Authorized official:** MR. ERIC M RUUD (ADMINISTRATOR)
- **Authorized official phone:** (509) 249-3910

## Contact information

- **Practice address:** 2500 RACQUET LN, STE 150, YAKIMA, WA 98902-6114
- **Practice address phone:** (509) 249-3910
- **Practice address fax:** (509) 573-9527
- **Mailing address:** 2500 RACQUET LN, STE 150, YAKIMA, WA 98902-6114
- **Mailing address phone:** (509) 249-3910
- **Mailing address fax:** (509) 573-9527

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 601650432 | WA | Yes |

## Other

- **Enumeration date:** 10/04/2005
- **Last updated:** 11/23/2009