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Advanced Urology, PLLC

Urology in Longmont, CO. Organization (NPI-2).

NPI number1629628201
StatusActive
Last updated in NPPESMar 8, 2025

Details

NPI
1629628201
Entity type
Organization (NPI-2)
Legal business name
Advanced Urology, PLLC
Organization subpart
No
Enumeration date
Sep 16, 2019
Certification date
Mar 8, 2025
Last updated
Mar 8, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208800000X Urology––Yes

Practice location

2030 Mountain View Ave Ste 420
Longmont, CO 80501-3182

Phone 303-776-9400

Mailing address

10200 Grand Central Ave Ste 220
Owings Mills, MD 21117-4366

Phone 443-738-2889

Authorized official

Emily Simpson
Provider Enrollment Manager
7203812805

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