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Organization

ADVANCED UROLOGY, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
EMILY SIMPSON (PROVIDER ENROLLMENT MANAGER)
(720) 381-2805
Entity
Organization

Contact information

Practice address
255 SOUTH ROUTT STREET SUITE 420, LAKEWOOD, CO 80228-5027
(303) 985-2550
Mailing address
10200 GRAND CENTRAL AVE STE 220, OWINGS MILLS, MD 21117-4366
(443) 738-2889

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary

Other

Enumeration date
09/16/2019
Last updated
03/08/2025
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