Organization
WESTSIDE UROLOGY LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HENRY A NEWMAN MD (PRESIDENT)
(623) 849-6122
Entity
Organization
Contact information
Practice address
7725 N 43RD AVE, SUITE 411, PHOENIX, AZ 85051-5770
(623) 849-6122
Mailing address
7725 N 43RD AVE, SUITE 411, PHOENIX, AZ 85051-5770
(623) 849-6122
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
218356
—
AZ
01
—
AZ0838000
BCBS
AZ
Enumeration date
08/31/2006
Last updated
08/22/2020
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