Urologic Surgery Associates

NPI 1588802961 - Clinic/Center - 261QL0400X

NPI Details
NPI 1588802961
Enumeration Date 01/23/2009
Last Updated 01/23/2009
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name DAN DAN
Position MANAGER
Phone (801) 822-2727
Fax
Practice Location
11179 IVY CREEK CV
SOUTH JORDAN UT, 84095-2249, US
Phone (801) 822-2727
Fax
Business Location
11179 IVY CREEK CV
SOUTH JORDAN UT, 84095-2249, US
Phone (801) 822-2727
Fax
Toxanomy
Taxonomy Code 261QL0400X
License State Utah
License Number 7100427-1205
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According to our database, Urologic Surgery Associates NPI is 1588802961, taxonomy code is 261QL0400X and license number is 7100427-1205, license state is located at Utah. Urologic Surgery Associates physically located at 11179 Ivy Creek Cv, South Jordan UT, 84095-2249. NPI Number 1033115704 has the healthcare provider type.

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1588802961 NPI number is provided on an as is basis without warranty of any kind. 1588802961 is maintained by the National Plan & Provider Enumeration System. The contents of Urologic Surgery Associates are for informational purposes only.