PRESCOTT UROCENTER LTD
Ambulatory Health at Ainsworth Dr, Prescott, AZ

License number
Arizona OSC 0067
Category
Ambulatory Health
Type
Ambulatory Surgical
Owner
Name: JEFFREY SANWICK MD
Title: OWNER
Phone: (928) 771-5282
Address
Address
811 Ainsworth Dr SUITE 101, Prescott, AZ 86301
National Provider ID: 1790711091
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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PRESCOTT UROCENTER, LTD

811 Ainsworth Dr #101, Prescott, AZ 86301

Registration:
Jun 27, 1991
State ID:
-0233721-0
Expiration:
Perpetual
Directors:
Jeffrey Sanwick Md (President/ceo), 811 Ainsworth Dr #101, Prescott, AZ 86301 (Physical),Michael Stanik Md (Secretary), 811 Ainsworth Dr #101, Prescott, AZ 86301 (Physical),Paul Nguyen Md (Director), Director 811 Ainsworth Dr #101, Prescott, AZ 86301 (Physical)
Agent:
Jeffrey Sanwick,811 Ainsworth Dr #101, Prescott, AZ 86301 (Physical)
Business type:
Surgery Center

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