Organization
ADVANCED UROLOGY, PLLC
Active
Other names
Advanced Urology
Organization subpart
No
Provider details
NPI number
Authorized official
MADISON WREN (CREDENTIALING SPECIALIST)
(843) 847-1343
Entity
Organization
Contact information
Practice address
4500 E 9TH AVE STE 470, DENVER, CO 80220-3923
(303) 532-8007
(303) 625-9719
Mailing address
10200 GRAND CENTRAL AVE STE 220, OWINGS MILLS, MD 21117-4366
(443) 471-5783
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
09/19/2024
Last updated
03/20/2025
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