Organization
PRESCOTT UROLOGY LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY SANWICK MD (OWNER)
(928) 771-5282
Entity
Organization
Contact information
Practice address
811 AINSWORTH DR, SUITE 101, PRESCOTT, AZ 86301-1687
(928) 771-5282
(928) 771-5283
Mailing address
811 AINSWORTH DR, SUITE 101, PRESCOTT, AZ 86301-1687
(928) 771-5282
(928) 771-5283
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
06/21/2006
Last updated
06/24/2009
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