Organization
YAVAPAI UROLOGY, PLLC
Active
Other names
Yavapai Urology, PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
SYMPHONY WITTENBERG (PRACTICE MANAGER)
(661) 208-1182
Entity
Organization
Contact information
Practice address
117 ROTONDA WAY, PRESCOTT, AZ 86301-4493
(661) 208-1182
Mailing address
1042 WILLOW CREEK RD STE A101-138, PRESCOTT, AZ 86301-1673
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
07/06/2022
Last updated
07/13/2022
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