Prescott Urology Ltd

NPI #1972549517 in Prescott, Arizona

Provider Information

NPI Number: 1972549517
Entity Type: Organization
Organization Name: Prescott Urology Ltd
Primary Specialty: Specialist
Enumeration Date: Jun 21, 2006
Last Updated: Jun 24, 2009

Practice Location

Address: 811 AINSWORTH DR
Address 2: SUITE 101
City: Prescott
State: Arizona
ZIP Code: 86301-1687
Phone: (928) 771-5282

Authorized Official

Name: JEFFREY SANWICK, MD
Title: OWNER
Phone: (928) 771-5282

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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