Western Urological Clinic PC

NPI #1386699676 in Slc, Utah

Provider Information

NPI Number: 1386699676
Entity Type: Organization
Organization Name: Western Urological Clinic PC
Primary Specialty: Specialist
Enumeration Date: May 24, 2006
Last Updated: Jul 21, 2022

Practice Location

Address: 4252 HIGHLAND DR
Address 2: #200
City: Slc
State: Utah
ZIP Code: 84124-2670
Phone: (801) 993-1800

Authorized Official

Name: DR. LANE C CHILDS, M.D.
Title: VICE PRESIDENT
Phone: (801) 993-1800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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