Organization
WESTERN UROLOGICAL CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LANE C CHILDS M.D. (VICE PRESIDENT)
(801) 993-1800
Entity
Organization
Contact information
Practice address
4252 HIGHLAND DR, #200, SLC, UT 84124-2670
(801) 993-1800
(801) 993-1699
Mailing address
4252 HIGHLAND DR, #200, SLC, UT 84124-2670
(801) 993-1800
(801) 993-1699
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
UT
Other
Enumeration date
05/24/2006
Last updated
07/21/2022
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