Organization
AFFILIATED UROLOGISTS, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN HENRY PONAS M.D. (PRESIDENT/CEO)
(602) 264-0608
Entity
Organization
Contact information
Practice address
500 W THOMAS RD, STE 600, PHOENIX, AZ 85013-4221
(602) 264-0608
(602) 234-0417
Mailing address
500 W THOMAS RD, STE 600, PHOENIX, AZ 85013-4221
(602) 264-0608
(602) 234-0417
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
22477
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
507048
—
AZ
Enumeration date
06/21/2005
Last updated
08/22/2020
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