Organization
AZ FEMALE UROLOGIST, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YASMIN BOOTWALA MD (PRESIDENT)
(832) 726-4416
Entity
Organization
Contact information
Practice address
10617 N HAYDEN RD STE B-102, SCOTTSDALE, AZ 85260-5685
(480) 483-9011
Mailing address
10617 N HAYDEN RD STE B-102, SCOTTSDALE, AZ 85260-5685
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1922284579
NPI
—
Enumeration date
01/26/2023
Last updated
11/18/2024
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