Male Fertility and Peyronie's Clinic

NPI #1013522564 in Orem, Utah

Provider Information

NPI Number: 1013522564
Entity Type: Organization
Organization Name: Male Fertility and Peyronie's Clinic
Primary Specialty: Urology
Enumeration Date: Sep 11, 2020
Last Updated: May 12, 2021

Practice Location

Address: 1443 W 800 N STE 302
City: Orem
State: Utah
ZIP Code: 84057-2883
Phone: (801) 655-0015

Authorized Official

Name: LANDON TROST, MD
Title: OWNER, MD
Phone: (801) 655-0015

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X
Nurse Practitioner	363L00000X
Urology	208800000X	Primary

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