Organization
ARIZONA UROLOGIC SPECIALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TED WAYNE KALOTA BA (ADMINISTRATOR)
(520) 733-3030
Entity
Organization
Contact information
Practice address
6252 E GRANT RD, SUITE 150, TUCSON, AZ 85712-5803
(520) 733-3030
(520) 733-1177
Mailing address
6252 E GRANT RD, SUITE 150, TUCSON, AZ 85712-5803
(520) 733-3030
(520) 733-1177
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
07/09/2006
Last updated
02/28/2008
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