specializing in urology in Provo, Utah

NPI: 1922529601

Provider Type

2

Practice Locations

Mailing Location

PO BOX 27128

SALT LAKE CITY, UT 84127

📞 8013573242

Practice Location

395 W COUGAR BLVD STE 704

PROVO, UT 84604

📞 8013573242

Provider Information

Gender:
Sole Proprietor:No
Enumeration Date:7/3/2017
Last Updated:1/14/2021

Credentials

Primary Credential:
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