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NPI Code Detail

MEDICARE: ARIZONA UROLOGY SPECIALISTS, PLLC

MEDICARE: ARIZONA UROLOGY SPECIALISTS, PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1332900000XNon-Pharmacy Dispensing Site
2208800000XUrology Physician

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
3Z128957OTHERAZMEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1356410666
Entity Type Code : Organization
Provider Name (Legal Business Name) : ARIZONA UROLOGY SPECIALISTS, PLLC
Provider Business Mailing Address
First Line : 25 CROSSROADS DR STE 306
Second Line :
City : OWINGS MILLS
State : MD
Zip : 21117-5437
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6325 E. TANQUE VERDE RD
Second Line :
City : TUCSON
State : AZ
Zip : 85715-3808
Country : US
Telephone Number : 520-795-5830
Fax Number : 520-885-4469
Authorized Official
Title or Position : PHYSICIAN
Name : DR. MITZI BARMATZ
Credential : MD
Telephone Number : 520-795-5830
Provider Enumeration Date : 11/08/2006
Last Update Date : 05/28/2025

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Directions to “ARIZONA UROLOGY SPECIALISTS, PLLC ” Practice Location

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