Urololgy Providers of Northern Arizona
NPI #1134274319 in Cottonwood, Arizona
Provider Information
- NPI Number
- 1134274319
- Entity Type
- Organization
- Organization Name
- Urololgy Providers of Northern Arizona
- Primary Specialty
- Clinic/Center - Ambulatory Surgical
- Enumeration Date
- Jan 25, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 450 S WILLARD ST
- Address 2
- STE 105
- City
- Cottonwood
- State
- Arizona
- ZIP Code
- 86326-6743
- Phone
- (928) 639-1311
Authorized Official
- Name
- ALEX M HORCHAK, MD
- Title
- PRESIDENT
- Phone
- (928) 639-1311
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Ambulatory Surgical — Ambulatory Surgical |
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