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Blue Mountain Urology, Pllc
Urology Physician in Clyde, North Carolina
NPI 1134149990

Blue Mountain Urology, Pllc is a Urology Physician based in Clyde, NC. Blue Mountain Urology, Pllc practices in Clyde, NC. The NPI Number for Blue Mountain Urology, Pllc is 1134149990 and holds a License No. 9600227 (North Carolina).

The current practice location address for Blue Mountain Urology, Pllc is 15 Brettwood Trce, Clyde, NC and can be reached out via phone at 828-452-9700 and via fax at 828-452-3701.

Location: 15 Brettwood Trce, Clyde, NC, 28721-8021
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1134149990
Provider Name
Blue Mountain Urology, Pllc
Credential
Provider Entity Type
Organization
Address
15 Brettwood Trce, Clyde, NC, 28721-8021
Phone Number
828-452-9700
Fax Number
828-452-3701
Provider Enumeration Date
07/21/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
89013YY 05 NC
institution
Provider Business Practice Location Address Details
Address
15 Brettwood Trce
City
Clyde
State
North Carolina
Zip
28721-8021
Phone Number
828-452-9700
Fax Number
828-452-3701
person
Provider Business Mailing Address Details
Address
15 Brettwood Trce
City
Clyde
State
North Carolina
Zip
28721-8021
Phone Number
828-452-9700
Fax Number
828-452-3701
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
96-00227 (North Carolina)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Urology
Speciality
-
Taxonomy
208800000X
License No.
9600227 (North Carolina)
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
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