Organization
CANYON UROLOGY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEN-RYU HAN MD (MANAGER)
(602) 375-1700
Entity
Organization
Contact information
Practice address
5750 W THUNDERBIRD RD STE B200, GLENDALE, AZ 85306-4664
(602) 375-1700
(602) 978-1225
Mailing address
5750 W THUNDERBIRD RD STE B200, GLENDALE, AZ 85306-4664
(602) 375-1700
(602) 978-1225
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
01/07/2013
Last updated
01/07/2013
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