Western Urological Associates, PC

NPI #1699957332 in Parker, Arizona

Provider Information

NPI Number: 1699957332
Entity Type: Organization
Organization Name: Western Urological Associates, PC
Primary Specialty: Specialist
Enumeration Date: Dec 5, 2007
Last Updated: Oct 27, 2010

Practice Location

Address: 601 W RIVERSIDE DR
Address 2: SUITES 3 AND 4
City: Parker
State: Arizona
ZIP Code: 85344-5119
Phone: (602) 377-5900

Authorized Official

Name: ROBERT S NICKOLISEN, MD
Title: OWNER
Phone: (602) 377-5900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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