institution
Urololgy Providers Of Northern Arizona
Ambulatory Surgical Clinic/Center in Cottonwood, Arizona
NPI 1134274319

Urololgy Providers Of Northern Arizona is an Ambulatory Surgical Clinic/Center based in Cottonwood, AZ and is specialized in Ambulatory Surgical. Urololgy Providers Of Northern Arizona practices in Cottonwood, AZ. The NPI Number for Urololgy Providers Of Northern Arizona is 1134274319 and holds a License No. (Arizona).

The current practice location address for Urololgy Providers Of Northern Arizona is 450 S Willard St, Cottonwood, AZ and can be reached out via phone at 928-639-1311 and via fax at 928-639-1573.

Location: 450 S Willard St, Cottonwood, AZ, 86326-6743
institution
Provider Profile Details
NPI Number
1134274319
Provider Name
Urololgy Providers Of Northern Arizona
Credential
Provider Entity Type
Organization
Address
450 S Willard St, Cottonwood, AZ, 86326-6743
Phone Number
928-639-1311
Fax Number
928-639-1573
Provider Enumeration Date
01/25/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
AZ0420070 01 AZ BCBS OF AZ
P00341295 01 AZ RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
450 S Willard St
City
State
Zip
86326-6743
Phone Number
928-639-1311
Fax Number
928-639-1573
person
Provider Business Mailing Address Details
Address
450 S Willard St
City
State
Zip
86326-6743
Phone Number
928-639-1311
Fax Number
928-639-1573
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Ambulatory Surgical
Taxonomy
License No.
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Definition
Definition to come...
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