Organization
UROLOGY CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. H LYLE PIERCE MD (PRESIDENT)
(307) 745-3097
Entity
Organization
Contact information
Practice address
2710 HARNEY ST, SUITE 200, LARAMIE, WY 82070-2899
(307) 745-3097
(307) 745-7431
Mailing address
2710 HARNEY ST, SUITE 200, LARAMIE, WY 82070-2899
(307) 745-3097
(307) 745-7431
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
5981A
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106684600
—
WY
Enumeration date
08/31/2006
Last updated
12/01/2015
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