Arizona Lithotripsy LLC
Clinic/Center, Lithotripsy in Scottsdale, AZ. Organization (NPI-2).
NPI number1316446636
StatusActive
Last updated in NPPESFeb 2, 2018
Details
- NPI
- 1316446636
- Entity type
- Organization (NPI-2)
- Legal business name
- Arizona Lithotripsy LLC
- Organization subpart
- No
- Enumeration date
- Feb 2, 2018
- Last updated
- Feb 2, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QL0400X | Clinic/Center, Lithotripsy | – | – | Yes |
| 208800000X | Urology | – | – |
Practice location
10301 N 92nd St Ste 101Scottsdale, AZ 85258-4506
Phone 480-661-2662 · Fax 480-661-9716
Mailing address
77 E Thomas Rd Ste 230Phoenix, AZ 85012-3100
Phone 602-557-0007 · Fax 602-557-0002
Authorized official
C. Gilberto Brito
President
6025570007
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