Healthcare Provider Details

I. General information

NPI: 1710823760
Provider Name (Legal Business Name): PRECISION UROLOGY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/23/2026
Last Update Date: 04/23/2026
Certification Date: 04/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9225 N 3RD ST STE 302
PHOENIX AZ
85020-2466
US

IV. Provider business mailing address

PO BOX 654438
DALLAS TX
75265-4438
US

V. Phone/Fax

Practice location:
  • Phone: 602-844-2554
  • Fax: 602-844-2253
Mailing address:
  • Phone: 602-844-2554
  • Fax: 602-844-2253

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332900000X
TaxonomyNon-Pharmacy Dispensing Site
License Number
License Number State

VIII. Authorized Official

Name: EVA MARIA SAMTMANN
Title or Position: RCM
Credential:
Phone: 602-844-2254