Organization
CAPITOL UROLOGY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY DWIGHT UPTON MD (PRESIDENT)
(775) 885-9991
Entity
Organization
Contact information
Practice address
1525 VISTA LN, 120, CARSON CITY, NV 89703-4626
(775) 885-9991
Mailing address
1525 VISTA LN, 120, CARSON CITY, NV 89703-4626
(775) 885-9991
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
5645
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2013007
—
NV
Enumeration date
06/05/2007
Last updated
02/26/2008
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