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MISSOULA UROLOGY PLLC NPI 1609064013


NPI Information

NPI: 1609064013
Provider Name: MISSOULA UROLOGY PLLC
Classification: Urology - 2088P0231X
Entity Type: Organization

Specialization: Pediatric Urology

CLIA Number: 27D0410875

Address:
2835 FORT MISSOULA RD
SUITE 201
MISSOULA, MT
ZIP 59804
Phone: (406) 543-1967
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MISSOULA UROLOGY PLLC is a pediatric urology urology in Missoula, MT. The provider is surgeons who can diagnose, treat, and manage children's urinary and genital problems. A pediatric urologist devotes a minimum of 50% of his or her practice to the urologic problems of infants, children, and adolescents. Pediatric urologists generally provide the following services: the evaluation and management of voiding disorders; vesicoureteral reflux, and urinary tract infections that require surgery; surgical reconstruction of the urinary tract (kidneys, ureters, and bladder) including genital abnormalities, hypospadias, and intersex conditions; surgery for groin conditions in childhood and adolescence (undescended testes, hydrocele/hernia, varicocele). MISSOULA UROLOGY PLLC NPI is 1609064013. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2835 FORT MISSOULA RD
SUITE 201
MISSOULA, MT
ZIP 59804-423
Phone: (406) 543-1967
Fax: (406) 543-5379

The provider's authorized official is William J Graber .
The authorized official title is Owner and has the following contact phone number (406) 543-1967.

The CLIA number assigned to this NPI record is 27D0410875 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 10/10/2007 and was last updated on 10/10/2007.


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 UrologyG47576MONTANAYes

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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