Organization
ALFREDO GUEVARA, JR., MD
Active
Other names
Santa Cruz Urology
Organization subpart
No
Provider details
NPI number
Authorized official
CECIE MAVIS (BILLING MANAGER/OFFICE MANAGER)
(520) 761-3103
Entity
Organization
Contact information
Practice address
507 N WESTERN AVE, NOGALES, AZ 85621-2060
(520) 761-3103
(520) 287-4862
Mailing address
507 N WESTERN AVE, NOGALES, AZ 85621-2060
(520) 761-3103
(520) 287-4862
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
203216
—
AZ
Enumeration date
06/24/2020
Last updated
06/24/2020
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