Organization Name: | THE UROLOGY CLINIC LTD |
NPI Number: | 1053517862 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BARRY L STERN (OWNER) |
Mailing Address: | 10503 W Thunderbird Blvd Suite 317 Sun City |
State: | AZ US |
Postal Code: | 85351 |
Phone Number: | 6239743621 |
Fax Number: | 4805966860 |
NPI Enumeration Date: | 06/27/2007 |
NPI Last Update Date: | 07/09/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QA1903X |
License Number: | 05046 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Ambulatory Surgical |
Taxonomy Definition: |