Organization
UROLOGY ASC - PHOENIX, LLC
Active
Other names
Urologic Surgery Center of Arizona
Organization subpart
No
Provider details
NPI number
Authorized official
SANFORD JAY SIEGEL MD (OWNER)
(410) 581-1600
Entity
Organization
Contact information
Practice address
16390 N 59TH AVE STE 100, GLENDALE, AZ 85306-1711
(602) 241-5105
Mailing address
25 CROSSROADS DR STE 306, OWINGS MILLS, MD 21117-5437
(866) 953-3111
(443) 471-8540
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
05/17/2021
Last updated
05/17/2021
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