Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Arizona Pediatric Urology, PC

Organization Pediatric Urology Physician · NPI 1508998147

Arizona Pediatric Urology, PC is a Pediatric Urology Physician in Phoenix, Arizona. Licensed in Arizona. Registered with an NPI since 2007.

Licensed in
AZ
In the registry since
2007
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4614 E Shea Blvd D-110
Phoenix, AZ 85028-3070
Phone: (480) 391-8989
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Urology Physician (primary) Taxonomy 2088P0231X · Licence 30105 (AZ)

Record details

NPI number1508998147
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Philip Gleason — Pediatric Urologist · (480) 391-8989
NPI enumeratedMarch 9, 2007
Last updated in NPPESAugust 22, 2020
Mailing addressPo Box 41090, Mesa, AZ 85274-1090

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