# UROLOGY CLINIC PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487765764
- **Authorized official:** DR. H LYLE PIERCE MD (PRESIDENT)
- **Authorized official phone:** (307) 745-3097

## Contact information

- **Practice address:** 2710 HARNEY ST, SUITE 200, LARAMIE, WY 82070-2899
- **Practice address phone:** (307) 745-3097
- **Practice address fax:** (307) 745-7431
- **Mailing address:** 2710 HARNEY ST, SUITE 200, LARAMIE, WY 82070-2899
- **Mailing address phone:** (307) 745-3097
- **Mailing address fax:** (307) 745-7431

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208800000X | Urology Physician | 5981A | WY | Yes |

## Other

- **Enumeration date:** 08/31/2006
- **Last updated:** 12/01/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 106684600 | — | WY |
