MEDICARE: AARON WILLIAM LATOWSKY MD

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
1	208800000X	Urology Physician	MT184237	PA
2	208800000X	Urology Physician	40966	AZ

General Provider Information

NPI Number	:	1205992609
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AARON WILLIAM LATOWSKY MD

Provider Business Mailing Address
First Line	:	14044 W CAMELBACK RD
Second Line	:	SUITE 118 ARIZONA UROLOGY RANCHO LA LOMA MEDICAL PLAZA
City	:	LITCHFIELD PARK
State	:	AZ
Zip	:	85340-9428
Country	:	US
Telephone Number	:	623-547-2600
Fax Number	:

Provider Business Practice Location Address
First Line	:	14044 W CAMELBACK RD
Second Line	:	SUITE 128 ARIZONA UROLOGY RANCHO LA LOMA MEDICAL PLAZA
City	:	LITCHFIELD PARK
State	:	AZ
Zip	:	85340-9428
Country	:	US
Telephone Number	:	623-547-2600
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/29/2006
Last Update Date	:	06/11/2015

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