Provider Demographics
NPI:1598840589
Name:FOOTHILLS UROLOGY, P.C.
Entity Type:Organization
Organization Name:FOOTHILLS UROLOGY, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KENNETH
Authorized Official - Middle Name:MARC
Authorized Official - Last Name:BELKOFF
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:520-784-7000
Mailing Address - Street 1:3940 N CAMPBELL AVE
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85719-1428
Mailing Address - Country:US
Mailing Address - Phone:520-784-7000
Mailing Address - Fax:520-326-8963
Practice Address - Street 1:3940 N CAMPBELL AVE
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85719-1428
Practice Address - Country:US
Practice Address - Phone:520-784-7000
Practice Address - Fax:520-326-8963
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Single Specialty