Organization
SOUTHWEST PREMIER UROLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRISTAN T BERRY MD (OWNER)
(520) 324-4660
Entity
Organization
Contact information
Practice address
1100 N EL DORADO PL, TUCSON, AZ 85715-4606
(520) 324-4660
(520) 324-4659
Mailing address
PO BOX 43100, TUCSON, AZ 85733-3100
(520) 722-3777
(520) 296-6224
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
03/16/2020
Last updated
03/16/2020
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