| NPI | 1508998147 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILIP E GLEASON Pediatric Urologist 480-391-8989 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2088P0231X Urology, Pediatric Urology (Licence: AZ 30105) |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2020-08-22 |