Organization
ARIZONA UROLOGY AND INFERTILITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL M BLOCK, MD MD (ADMINISTRATOR/OWNER)
(602) 395-0718
Entity
Organization
Contact information
Practice address
5757 W THUNDERBIRD RD, GLENDALE, AZ 85306-4641
(602) 395-0718
(602) 277-8146
Mailing address
5757 W THUNDERBIRD RD, GLENDALE, AZ 85306-4641
(602) 395-0718
(602) 277-8146
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
13694
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
238825
—
AZ
01
—
AZ0038490
BLUE CROSS BLUE SHIELD
AS
Enumeration date
07/05/2006
Last updated
08/22/2020
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