FIVE VALLEYS UROLOGY NPI 1720067705

NPI Information

FIVE VALLEYS UROLOGY is an urology in Missoula, MT. 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. FIVE VALLEYS UROLOGY NPI is 1720067705. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2875 TINA
SUITE 101
MISSOULA, MT
ZIP 59808-308
Phone: (406) 728-3366
Fax: (406) 329-2896

The provider's authorized official is John Terry O'connor .
The authorized official title is Practice Administrator and has the following contact phone number (406) 728-3366.

The CLIA number assigned to this NPI record is 27D0707089 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 1/10/2006 and was last updated on 4/21/2011.

Taxonomy Codes

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Other Identifiers

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