NPI 1235240920

Southeast Valley Urology PC

Organisation Urology Physician Mesa, AZ

Practice location

Address: 6344 E Broadway Rd Suite 112, Mesa, AZ 85206-1634
Phone: (480) 924-7333

Authorised official

Name: John Croushore
Title: Physician
Phone: (480) 924-7333

Registered specialties

Urology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208800000X

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Registry record

NPI: 1235240920
Entity type: Organization
NPI issued: 31 Aug 2006
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.