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BIG HORN UROLOGY PC NPI 1043379472


NPI Information

NPI: 1043379472
Provider Name: BIG HORN UROLOGY PC

Other Name: DR STEPHEN W HOLST MD

Classification: Urology - 208800000X
Entity Type: Organization
Address:
340 WEST DOW STREET
SHERIDAN, WY
ZIP 82801
Phone: (307) 672-1806
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BIG HORN UROLOGY PC is an urology in Sheridan, WY. 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. BIG HORN UROLOGY PC NPI is 1043379472. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Dr Stephen W Holst Md.

The provider's business location address is:

340 WEST DOW STREET
SHERIDAN, WY
ZIP 82801
Phone: (307) 672-1806
Fax: (307) 672-1808

The provider's authorized official is Stephen Wilson Holst .
The authorized official title is President Big Horn Urology Pc and has the following contact phone number (307) 672-1806.

The enumeration date for this NPI number is 12/8/2006 and was last updated on 6/10/2010.


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
1208800000XUrology2157COLORADONo
2208800000XUrology5434AWYOMINGYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1306592OTHERWYOMINGBLUE CROSS BLUE SHIELD
2E80847MEDICARE UPIN
3109407600MEDICAIDWYOMING
4W9922MEDICARE ID-TYPE UNSPECIFIEDWYOMING

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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