Urology Clinic of Utah Valley LLC

NPI #1639211972 in Provo, Utah

Provider Information

NPI Number: 1639211972
Entity Type: Organization
Organization Name: Urology Clinic of Utah Valley LLC
Primary Specialty: Urology
Enumeration Date: Feb 13, 2007
Last Updated: Sep 21, 2007

Practice Location

Address: 1055 N 300 W
Address 2: STE 316
City: Provo
State: Utah
ZIP Code: 84604-3344
Phone: (801) 357-7530

Authorized Official

Name: DR. STEWART T LANDAU, M.D
Title: PRESIDENT
Phone: (801) 357-7530

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Urology - Pediatric Urology — Pediatric Urology	2088P0231X
Urology	208800000X	Primary

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