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Arizona State Urology, LLC (Subsidiary of Glendale Urology, PC)PATIENT REGISTRATION PLEASE PRINT AND COMPLETE ALL ENTRIES PATIENT NAME (LAST FIRST MIDDLE INITIAL) CITY, STATE BIRTHDAY (M/D/Y)ADDRESS
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Arizona State Urology LLC is a specialized medical practice focusing on urology services in the state of Arizona.
Health professionals or entities engaged in urology practices in Arizona are required to file Arizona State Urology LLC.
To fill out Arizona State Urology LLC, one must complete the application form provided by the state, providing necessary practice details and compliance information.
The purpose of Arizona State Urology LLC is to formalize the legal structure for urology practices, ensuring compliance with state regulations and providing a framework for business operations.
Information that must be reported includes practice name, physical address, owner details, professional licenses, and any prior disciplinary actions.
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