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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