BLACK HILLS UROLOGY GROUP, P.C.
Urology at State Route 89A, Cottonwood, AZ

License number
Arizona 4639
Category
Radiology
Type
Urology
License number
Arizona 36999
Category
Radiology
Type
Urology
Owner
Name: DR. MICHAEL A CAMPENNI D.O.
Title: CO.OWNER/PRESIDENT
Phone: (928) 649-7970
Address
Address
294 W State Route 89A SUITE 208, Cottonwood, AZ 86326
National Provider ID: 1801069158
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about BLACK HILLS UROLOGY GROUP, P.C. at bizstanding.com

BLACK HILLS UROLOGY GROUP, PC

Cottonwood, AZ

Status:
Inactive
Industry:
Medical Doctor's Office, Urologist
Doing business as:
Black Hills Urology Group
Inactive reason:
Ad-dissolved-file annual report
Registration:
Mar 28, 2008
Inactive since:
Sep 4, 2013
Phone:
(928) 649-7970 (Phone)
Addresses:
294 W State Rte 89A #208, Cottonwood, AZ 86326 (Physical)
294 W St Rte, Cottonwood, AZ 86326
State ID:
-1439684-0
Expiration:
PERPETUAL
Office Managers:
Michael Campenni (President, Co-Owner, Osteopathy, Principal, Urology), 294 W State Rte 89A #208A, Cottonwood, AZ 86326 (Physical),Steven J Kurzweil (Vice-president), 294 W State Rte 89A #208A, Cottonwood, AZ 86326 (Physical),Steven Kurzweil (Director, Medical Doctor, Urology), Director 294 W State Rte 89A STE 208A, Cottonwood, AZ 86326 (Physical),...
Agent:
James E Ledbetter,Ledbetter Law Firm Plc 1003 N Main St, Cottonwood, AZ 86326 (Physical)

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