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UROLOGY CLINIC OF UTAH VALLEY LLC NPI 1639211972


NPI Information

NPI: 1639211972
Provider Name: UROLOGY CLINIC OF UTAH VALLEY LLC
Classification: Urology - 208800000X
Entity Type: Organization
Address:
1055 N 300 W
STE 316
PROVO, UT
ZIP 84604
Phone: (801) 357-7530
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UROLOGY CLINIC OF UTAH VALLEY LLC is an urology in Provo, UT. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. UROLOGY CLINIC OF UTAH VALLEY LLC NPI is 1639211972. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1055 N 300 W
STE 316
PROVO, UT
ZIP 84604-344
Phone: (801) 357-7530
Fax: (801) 357-7566

The provider's authorized official is Stewart T Landau .
The authorized official title is President and has the following contact phone number (801) 357-7530.

The enumeration date for this NPI number is 2/13/2007 and was last updated on 9/21/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12088P0231XUrologyPediatric UrologyNo
2208800000XUrologyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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