Western Urological Associates, Pc in Lake Havasu City - Specialist
Western Urological Associates, Pc - NPI 1699957332
Western Urological Associates, Pc is a Specialist in Lake Havasu City, Arizona. Western Urological Associates, Pc practices all healthcare services and medical treatments related to Specialist. The NPI Number for Western Urological Associates, Pc is 1699957332. The last update date is 2010-10-27.
Western Urological Associates, Pc's current location address is 2485 Stroke Dr, Lake Havasu City, Arizona. You can contact this provider via phone number 6023775900. The mailing address for Western Urological Associates, Pc is 2485 Stroke Dr, Lake Havasu City, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Western Urological Associates, Pc |
|---|---|
| Address | 2485 Stroke Dr, Lake Havasu City, Arizona |
| Phone Number | 6023775900 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Nickolisen S Robert |
| Credentials | MD |
| Telephone Number | 6023775900 |
NPI Number Detail
| NPI Number | 1699957332 |
|---|---|
| Provider Enumeration Date | 2007-12-05 |
| Last Updated Date | 2010-10-27 |
Provider Mailing Address Detail
| Address | 2485 Stroke Dr |
|---|---|
| City | Lake Havasu City |
| State | Arizona (AZ) |
| Post Code | 864067622 |
| Phone Number | 6023775900 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 15301 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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What is the unique 10-digit identifier code issued to Western Urological Associates, Pc by the Centers for Medicare & Medicaid Services?
The Western Urological Associates, Pc has been assigned the NPI (National Provider Identifier) 1699957332 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Western Urological Associates, Pc is located?
The Western Urological Associates, Pc is situated at the following address: 2485 Stroke Dr, Lake Havasu City, AZ, 864067622.
What is Western Urological Associates, Pc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Western Urological Associates, Pc is Specialist, and the taxonomy code that categorizes this field of expertise is 174400000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1699957332 to Western Urological Associates, Pc?
The Centers for Medicare & Medicaid Services originally issued the 1699957332 to Western Urological Associates, Pc on 2007-12-05.
When was the information pertaining to Western Urological Associates, Pc most recently updated or revised?
The details related to Western Urological Associates, Pc, including its address, specialty, and other relevant information, were last updated or revised on 2010-10-27.
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