Urology Clinic Of Utah Valley Llc in Provo - Pediatric Urology
Urology Clinic Of Utah Valley Llc - NPI 1639211972
Urology Clinic Of Utah Valley Llc is a Pediatric Urology in Provo, Utah. Urology Clinic Of Utah Valley Llc practices all healthcare services and medical treatments related to Pediatric Urology. The NPI Number for Urology Clinic Of Utah Valley Llc is 1639211972. The last update date is 2007-09-21.
Urology Clinic Of Utah Valley Llc's current location address is 1055 N 300 W, Provo, Utah. You can contact this provider via phone number 8013577530 and fax number 8013577566. The mailing address for Urology Clinic Of Utah Valley Llc is 1055 N 300 W, Provo, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Urology Clinic Of Utah Valley Llc |
|---|---|
| Address | 1055 N 300 W, Provo, Utah |
| Phone Number | 8013577530 |
| Fax Number | 8013577566 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Landau T Stewart |
| Credentials | M.D |
| Telephone Number | 8013577530 |
NPI Number Detail
| NPI Number | 1639211972 |
|---|---|
| Provider Enumeration Date | 2007-02-13 |
| Last Updated Date | 2007-09-21 |
Provider Mailing Address Detail
| Address | 1055 N 300 W |
|---|---|
| City | Provo |
| State | Utah (UT) |
| Post Code | 846043344 |
| Phone Number | 8013577530 |
| Fax Number | 8013577566 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Urology |
|---|---|
| Taxonomy | 2088P0231X |
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Definition: 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 |
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What is the unique 10-digit identifier code issued to Urology Clinic Of Utah Valley Llc by the Centers for Medicare & Medicaid Services?
The Urology Clinic Of Utah Valley Llc has been assigned the NPI (National Provider Identifier) 1639211972 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Urology Clinic Of Utah Valley Llc is physically located?
The Urology Clinic Of Utah Valley Llc is physically situated at the following address: 1055 N 300 W, Provo, UT, 846043344.
What is Urology Clinic Of Utah Valley Llc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Urology Clinic Of Utah Valley Llc's specialized field of practice is Pediatric Urology, and the corresponding taxonomy code that categorizes this area of specialization is 2088P0231X.
On what date did the Centers for Medicare & Medicaid Services issue the 1639211972 to Urology Clinic Of Utah Valley Llc?
The Urology Clinic Of Utah Valley Llc received its 1639211972 assignment from the Centers for Medicare & Medicaid Services on 2007-02-13.
As of what date were the details related to Urology Clinic Of Utah Valley Llc most recently updated or revised?
The information pertaining to Urology Clinic Of Utah Valley Llc, including its address, specialty, and other relevant details, was last updated or revised on 2007-09-21.