Organization
LARRY E URRY MD PC
Active
Other names
DrUMD
Organization subpart
No
Provider details
NPI number
Authorized official
MARY J URRY (PRACTICE ADMINISTRATOR/OFFICER)
(801) 390-4536
Entity
Organization
Contact information
Practice address
434 E 5350 S STE D, WASHINGTON TERRACE, UT 84405
(801) 827-9100
(801) 827-9110
Mailing address
434 E 5350 S STE D, OGDEN, UT 84405-5417
(801) 827-9100
(801) 827-9110
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
177611-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000011725
MEDICARE PTAN
UT
Enumeration date
12/03/2012
Last updated
06/27/2018
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