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Contact Information

NORTHERN ARIZONA UROLOGY
1300 N RIM DR
SUITE C
FLAGSTAFF, AZ86001-3128
 Phone: 928-779-6139
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Urology

208800000X 34 Physician/Urology
Indicates primary specialty

NPI Profile & details for NORTHERN ARIZONA UROLOGY

NPI # 1437348828
LBN Legal business name NORTHERN ARIZONA UROLOGY
Authorized official NATHAN BENSON - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 10/22/2007
Last updated 10/22/2007 - About 19 years ago
Identifiers
AZ Medicaid 204777
AZ Medicaid 976110
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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