Organization
SOUTHWEST UROLOGIC SPECIALISTS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH H WORISCHECK JR. MD (UROLOGIST)
(480) 892-3059
Entity
Organization
Contact information
Practice address
6007 E. BASELINE ROAD, #105, GILBERT, AZ 85234-5044
(480) 892-3059
Mailing address
6007 E BASELINE RD, #105, MESA, AZ 85206-4801
(480) 892-3059
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0172120
BLUE CROSS BLUE SHIELD
AZ
05
—
108664
—
AZ
01
—
1099953
UNITED HEALTH CARE
AZ
Enumeration date
07/27/2007
Last updated
08/16/2013
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