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1912571795
UROLOGY ASC - PHOENIX, LLC
GLENDALE, AZ
NPI
1912571795
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Entity Type
Organization
Authorized Contact
SANFORD JAY SIEGEL
Owner
410-581-1600
Organization Subpart ?
No
Primary Taxonomy
261QA1903X Clinic/Center Ambulatory Surgical
Enumeration Date
2021-05-17
Last Update Date
2021-05-17
Business Address
UROLOGY ASC - PHOENIX, LLC
16390 N 59TH AVE STE 100
GLENDALE, AZ 85306-1711
Phone number: 602-241-5105
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Mailing Address
UROLOGY ASC - PHOENIX, LLC
25 CROSSROADS DR STE 306
OWINGS MILLS, MD 21117-5437
Phone number: 866-953-3111
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