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SWEETWATER UROLOGY NPI 1629385786


NPI Information

NPI: 1629385786
Provider Name: SWEETWATER UROLOGY
Classification: Urology - 208800000X
Entity Type: Organization
Address:
1208 HILLTOP DR
SUITE 204
ROCK SPRINGS, WY
ZIP 82901
Phone: (307) 362-4200
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SWEETWATER UROLOGY is an urology in Rock Springs, 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. SWEETWATER UROLOGY NPI is 1629385786. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1208 HILLTOP DR
SUITE 204
ROCK SPRINGS, WY
ZIP 82901-859
Phone: (307) 362-4200
Fax: (307) 362-5406

The provider's authorized official is Michael Sutphin .
The authorized official title is Owner and has the following contact phone number (307) 362-4200.

The enumeration date for this NPI number is 9/9/2010 and was last updated on 9/9/2010.


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
1208800000XUrology166834-1025UTAHNo
2208800000XUrologyG42452CALIFORNIANo
3363A00000XPhysician AssistantWY192WYOMINGNo
4208800000XUrology3547AWYOMINGYes

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
1340001047OTHERWYOMINGRAILROAD MEDICARE
24108766MEDICARE PINWYOMING
3104849000MEDICAIDWYOMING
42266OTHERWYOMINGBLUE CROSS OF WYOMING

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: 11/14/2023

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