Organization
ACADEMIC UROLOGY AND UROGYNECOLOGY OF ARIZONA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY ALAN STERN M.D. (OWNER)
(623) 547-2600
Entity
Organization
Contact information
Practice address
14044 W CAMELBACK RD, SUITE 118 AND 216, LITCHFIELD PARK, AZ 85340-9428
(623) 547-2600
(623) 547-1899
Mailing address
14044 W CAMELBACK RD, SUITE 118, LITCHFIELD PARK, AZ 85340-9428
(623) 547-2600
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
33193
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
575948
—
AZ
01
—
Z180412
MARICOPA PTAN
AZ
01
—
Z180474
PRESCOTT- PTAN
AZ
Enumeration date
05/03/2008
Last updated
02/19/2016
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