Organization
SOUTHWESTERN UROLOGY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JEANNIE R HAMBLIN (PRACTICE MANAGER)
(520) 296-7169
Entity
Organization
Contact information
Practice address
1100 N EL DORADO PL, TUCSON, AZ 85715-4606
(520) 296-7169
(520) 885-5806
Mailing address
1100 N EL DORADO PL, TUCSON, AZ 85715-4606
(520) 296-7169
(520) 885-5806
Taxonomy
Speciality
Code
Description
License number
State
2088P0231X
Pediatric Urology Physician
Primary
—
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1053370031
LEON SMITH HARRISON NPI
AZ
01
—
1619936002
ERIC CASTANEDA NPI
AZ
01
—
1710946744
KIMBALL ORTON NPI
AZ
01
—
1780643015
JERRY GREENBERG NPI
AZ
Enumeration date
03/09/2007
Last updated
08/22/2020
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