Organization
WASATCH UROLOGY ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES CHRISTIAN JENSEN M.D. (PRESIDENT/OWNER)
(801) 532-1244
Entity
Organization
Contact information
Practice address
24 S 1100 E, SUITE 301, SALT LAKE CITY, UT 84102-1500
(801) 532-1244
(801) 532-7277
Mailing address
PO BOX 58201, SALT LAKE CITY, UT 84158-0201
(801) 532-1244
(801) 532-7277
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1783141205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3400017805
RAILROAD MEDICARE PROVIDE
UT
05
—
529824158002
—
UT
Enumeration date
05/09/2006
Last updated
08/22/2020
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