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Organization

ARIZONA UROLOGY CENTER, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANN WOLK (OFFICE MANAGER)
(520) 803-0676
Entity
Organization

Contact information

Practice address
3410 CANYON DE FLORES, SUITE B, SIERRA VISTA, AZ 85650-5372
(520) 803-0676
Mailing address
3410 CANYON DE FLORES, SUITE B, SIERRA VISTA, AZ 85650-5372
(520) 803-0676

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
33318
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
890790
AZ
Enumeration date
12/11/2007
Last updated
02/29/2008
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