Organization
BLACK HILLS UROLOGY GROUP, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL A CAMPENNI D.O. (CO.OWNER/PRESIDENT)
(928) 649-7970
Entity
Organization
Contact information
Practice address
294 W STATE ROUTE 89A, SUITE 208, COTTONWOOD, AZ 86326-3754
(928) 649-7970
(928) 649-7971
Mailing address
294 W STATE ROUTE 89A, SUITE 208, COTTONWOOD, AZ 86326-3754
(928) 649-7970
(928) 649-7971
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
36999
AZ
208800000X
Urology Physician
Primary
4639
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1801069158
GROUP NPI FOR BLACK HILLS UROLOGY
AZ
05
—
324852
—
AZ
05
—
328233
—
AZ
01
—
36999
FOR DR. STEVEN KURZWEIL
AZ
01
—
4639
FOR DR. MICHAEL CAMPENNI
AZ
Enumeration date
04/08/2008
Last updated
11/15/2012
Update your record
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