HIGH PINES UROLOGY PC

LAKESIDE, AZ
NPI1407969637
Entity TypeOrganization
Authorized ContactDUAN CRAIG COPELAND
Owner
928-367-2832
Organization Subpart ?No
Primary Taxonomy208800000X Urology
(Licence: AZ  71818)
Enumeration Date2006-08-15
Last Update Date2020-08-22
Business Address
HIGH PINES UROLOGY PC
300 W WHITE MOUNTAIN BLVD SUITE C
LAKESIDE, AZ 85929
Phone number: 928-367-2832
Mailing Address
HIGH PINES UROLOGY PC
PO BOX 2619
LAKESIDE, AZ 85929-2619
Phone number: 928-367-2832