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WESTERN UROLOGICAL CLINIC PC NPI 1386699676


NPI Information

NPI: 1386699676
Provider Name: WESTERN UROLOGICAL CLINIC PC
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
4252 HIGHLAND DR
#200
SLC, UT
ZIP 84124
Phone: (801) 993-1800
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WESTERN UROLOGICAL CLINIC PC is a specialist in Slc, UT. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. WESTERN UROLOGICAL CLINIC PC NPI is 1386699676. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4252 HIGHLAND DR
#200
SLC, UT
ZIP 84124-670
Phone: (801) 993-1800
Fax: (801) 993-1699

The provider's authorized official is Lane C Childs .
The authorized official title is Vice President and has the following contact phone number (801) 993-1800.

The enumeration date for this NPI number is 5/24/2006 and was last updated on 7/21/2022.


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
1174400000XSpecialistUTAHYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.