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 provides Pediatric Urology Physician services 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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