Organization
UROLOGY CLINIC OF UTAH VALLEY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEWART T LANDAU M.D (PRESIDENT)
(801) 357-7530
Entity
Organization
Contact information
Practice address
1055 N 300 W, STE 316, PROVO, UT 84604-3344
(801) 357-7530
(801) 357-7566
Mailing address
1055 N 300 W, STE 316, PROVO, UT 84604-3344
(801) 357-7530
(801) 357-7566
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
2088P0231X
Pediatric Urology Physician
—
—
Other
Enumeration date
02/13/2007
Last updated
09/21/2007
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