Organization
EL DORADO PROSTATE CENTER, PC
Active
Other names
Dr. Jerry Greenberg
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JERRY GREENBERG MD (MEDICAL DIRECTOR)
(520) 403-7727
Entity
Organization
Contact information
Practice address
1100 N EL DORADO PL, TUCSON, AZ 85715-4606
(480) 265-2797
(602) 441-9524
Mailing address
PO BOX 98820, LAS VEGAS, NV 89193-8820
(602) 441-9520
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
21528
AZ
Other
Enumeration date
08/26/2014
Last updated
09/29/2014
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