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ADVANCED UROLOGY PLLC NPI 1629628201


NPI Information

NPI: 1629628201
Provider Name: ADVANCED UROLOGY, PLLC
Classification: Urology - 208800000X
Entity Type: Organization

CLIA Number: 06D0684482

Address:
2030 MOUNTAIN VIEW AVE STE 420
LONGMONT, CO
ZIP 80501
Phone: (303) 776-9400
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ADVANCED UROLOGY, PLLC is an urology in Longmont, CO. 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. ADVANCED UROLOGY, PLLC NPI is 1629628201. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2030 MOUNTAIN VIEW AVE STE 420
LONGMONT, CO
ZIP 80501-182
Phone: (303) 776-9400

The provider's authorized official is Janet Palardy .
The authorized official title is Credentialing Manager and has the following contact phone number (443) 738-2872.

The CLIA number assigned to this NPI record is 06D0684482 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 9/16/2019 and was last updated on 9/16/2019.


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
1208800000XUrologyYes

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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