Provider First Line Business Practice Location Address:
12631 E 17TH AVE STE C305
Provider Second Line Business Practice Location Address:
UC ANSCHUTZ MEDICAL CENTER, DIVISION OF UROLOGY
Provider Business Practice Location Address City Name:
AURORA
Provider Business Practice Location Address State Name:
CO
Provider Business Practice Location Address Postal Code:
80045-2527
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
720-331-6645
Provider Business Practice Location Address Fax Number:
888-250-6983
Provider Enumeration Date:
05/18/2007