| Urology Clinic, Ltd | |
|
13660 N 94th Dr Suite E2 Peoria AZ 85381-4836 | |
| (623) 974-3621 | |
| (623) 974-3622 |
| Full Name | Urology Clinic, Ltd |
|---|---|
| Speciality | Clinic/Center |
| Location | 13660 N 94th Dr, Peoria, Arizona |
| Authorized Official Name and Position | Barry L. Stern (OWNER) |
| Authorized Official Contact | 6239743621 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Urology Clinic, Ltd 13660 N 94th Dr Suite E2 Peoria AZ 85381-4836 Ph: (623) 974-3621 | Urology Clinic, Ltd 13660 N 94th Dr Suite E2 Peoria AZ 85381-4836 Ph: (623) 974-3621 |
| NPI Number | 1861441727 |
|---|---|
| Provider Enumeration Date | 05/09/2006 |
| Last Update Date | 04/19/2013 |
| Medicare PECOS PAC ID | 0547224578 |
|---|---|
| Medicare Enrollment ID | O20060919000106 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861441727 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Barry L Stern |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1609865310 PECOS PAC ID: 2264321793 Enrollment ID: I20040312000914 |
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