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Individual

KYLE S GARCIA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1055 N 500 W STE 211, PROVO, UT 84604-3305
(801) 357-7327
(801) 375-8860
Mailing address
1055 N 500 W, ATTN CREDENTIALING, PROVO, UT 84604-3305
(801) 354-8225
(801) 418-0941

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
14223440-1205
UT
208800000X
Urology Physician
A194524
CA
208800000X
Urology Physician
R77351
AZ

Other

Enumeration date
04/14/2019
Last updated
07/01/2025
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