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Tooele Urology Llc
Medical Specialty Clinic/Center in South Jordan, Utah
NPI 1457599912

Tooele Urology Llc is a Medical Specialty Clinic/Center based in South Jordan, UT and is specialized in Medical Specialty. Tooele Urology Llc practices in South Jordan, UT. The NPI Number for Tooele Urology Llc is 1457599912 and holds a License No. 7100427-1205 (Utah).

The current practice location address for Tooele Urology Llc is 11179 Ivy Creek Cv, South Jordan, UT and can be reached out via phone at 801-822-2727.

Location: 11179 Ivy Creek Cv, South Jordan, UT, 84095-2249
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1457599912
Provider Name
Tooele Urology Llc
Credential
Provider Entity Type
Organization
Address
11179 Ivy Creek Cv, South Jordan, UT, 84095-2249
Phone Number
801-822-2727
Fax Number
Provider Enumeration Date
01/21/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
11179 Ivy Creek Cv
City
South Jordan
State
Utah
Zip
84095-2249
Phone Number
801-822-2727
Fax Number
person
Provider Business Mailing Address Details
Address
11179 Ivy Creek Cv
City
South Jordan
State
Utah
Zip
84095-2249
Phone Number
801-822-2727
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Lithotripsy
Taxonomy
261QL0400X
License No.
7100427-1205 (Utah)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
7100427-1205 (Utah)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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11179 Ivy Creek Cv,
SOUTH JORDAN, UT
84095-2249
801-822-2727
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