Organization
CENTER FOR SEXUAL AND URINARY FUNCTION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER NIEMCZYK M.D. (DIRECTOR)
(602) 531-5824
Entity
Organization
Contact information
Practice address
5300 S SUTTER DR STE 1, SHOW LOW, AZ 85901-8055
(623) 780-2300
(888) 927-0569
Mailing address
4121 E MISSION LN STE 102, PHOENIX, AZ 85028-5403
(623) 780-2300
(888) 927-0569
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
34718
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Z136536
P-TAN
AZ
Enumeration date
01/08/2010
Last updated
06/25/2026
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