Individual
MCKAY PLATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1055 N 500 W, SUITE 211, PROVO, UT 84604-3305
(801) 357-7327
(801) 375-8860
Mailing address
1055 N 500 W, CREDENTIALING DEPARTMENT, PROVO, UT 84604-3305
(801) 354-8225
(801) 418-0941
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
178203-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107007957103
IHC
UT
01
—
144982
DMBA
UT
01
—
19-00138
UTAH HEALTH CARE
UT
01
—
234934
ALTIUS
UT
01
—
82636
PEHP
UT
01
—
870281028MLP
EMIA
UT
05
—
D2602
—
UT
01
—
P00207744
PALMETTO
UT
Enumeration date
09/27/2006
Last updated
11/27/2023
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