High Pines Urology Pc

NPI 1407969637 - Urology - 208800000X

NPI Details
NPI 1407969637
Enumeration Date 08/15/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name DUAN CRAIG DUAN
Position OWNER
Phone (928) 367-2832
Fax (928) 367-3321
Practice Location
300 W WHITE MOUNTAIN BLVD
SUITE C
LAKESIDE AZ, 85929, US
Phone (928) 367-2832
Fax (928) 367-3321
Business Location
PO BOX 2619
LAKESIDE AZ, 85929-2619, US
Phone (928) 367-2832
Fax (928) 367-3321
Toxanomy
Taxonomy Code 208800000X
License State Arizona
License Number 71818
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According to our database, High Pines Urology Pc NPI is 1407969637, taxonomy code is 208800000X and license number is 71818, license state is located at Arizona. High Pines Urology Pc physically located at 300 W White Mountain Blvd, Lakeside AZ, 85929. NPI Number 1033115704 has the healthcare provider type.

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1407969637 NPI number is provided on an as is basis without warranty of any kind. 1407969637 is maintained by the National Plan & Provider Enumeration System. The contents of High Pines Urology Pc are for informational purposes only.