Organization
INSTITUTE OF UROLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ARNALDO FRANCESCO TRABUCCO M.D. (MANAGING MEMBER)
(928) 768-6800
Entity
Organization
Contact information
Practice address
5300 S HIGHWAY 95, SUITE K, FORT MOHAVE, AZ 86426-9251
(928) 768-6800
Mailing address
PO BOX 33660, LAUGHLIN, NV 89028-3660
(928) 768-6800
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
42374
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
513717
—
AZ
Enumeration date
11/19/2009
Last updated
09/20/2013
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