Western Urological Clinic Pc in Slc - Specialist

Western Urological Clinic Pc - NPI 1386699676

Western Urological Clinic Pc is a Specialist in Slc, Utah. Western Urological Clinic Pc practices all healthcare services and medical treatments related to Specialist. The NPI Number for Western Urological Clinic Pc is 1386699676. The last update date is 2022-07-21.

Western Urological Clinic Pc's current location address is 4252 Highland Dr, Slc, Utah. You can contact this provider via phone number 8019931800 and fax number 8019931699. The mailing address for Western Urological Clinic Pc is 4252 Highland Dr, Slc, Utah. To know further, please read the information below!

Provider Profile Detail

Provider Organization Western Urological Clinic Pc
Address 4252 Highland Dr, Slc, Utah
Phone Number 8019931800
Fax Number 8019931699
Sole Proprietor --
Credentials --

Authorized Official

Title or Position VICE PRESI
Authorized Official Name Childs C Lane
Credentials M.D.
Telephone Number 8019931800

NPI Number Detail

NPI Number 1386699676
Provider Enumeration Date 2006-05-24
Last Updated Date 2022-07-21

Provider Mailing Address Detail

Address 4252 Highland Dr
City Slc
State Utah (UT)
Post Code 841242670
Phone Number 8019931800
Fax Number 8019931699

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Definition:
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.

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FAQs about Western Urological Clinic Pc

What is the Western Urological Clinic Pc's unique identification number?

The Western Urological Clinic Pc has been assigned the NPI (National Provider Identifier) Number 1386699676 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you provide the complete address where Western Urological Clinic Pc is physically located?

The Western Urological Clinic Pc is situated at the following address: 4252 Highland Dr, Slc, UT 841242670.

What is Western Urological Clinic Pc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Western Urological Clinic Pc is Specialist, and the taxonomy classification code that categorizes this area of expertise is 174400000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1386699676 to Western Urological Clinic Pc?

The Centers for Medicare & Medicaid Services assigned the 1386699676 to Western Urological Clinic Pc on 2006-05-24.

As of what date were the details pertaining to Western Urological Clinic Pc last refreshed?

The information related to the Western Urological Clinic Pc, including its address, specialty, and other relevant details, was last updated on 2022-07-21.

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