Organization
SOUTHEAST ARIZONA UROLOGY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY WILLIAM TERRY (CEO)
(520) 803-7640
Entity
Organization
Contact information
Practice address
3533 CANYON DE FLORES STE A, SIERRA VISTA, AZ 85650-5366
(520) 803-7640
(520) 803-7886
Mailing address
3533 CANYON DE FLORES STE A, SIERRA VISTA, AZ 85650-5366
(520) 803-7640
(520) 803-7886
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
27092
AZ
Other
Enumeration date
06/13/2007
Last updated
03/11/2013
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