Organization
THE BLADDER CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAREY SHIMADA (CREDENTIALING SPECIALIST)
(801) 628-8260
Entity
Organization
Contact information
Practice address
1551 RENAISSANCE TOWNE DR STE 460, BOUNTIFUL, UT 84010-7672
(844) 764-7633
(385) 252-3338
Mailing address
PO BOX 432, KAYSVILLE, UT 84037-0432
(801) 589-4033
(385) 252-3338
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
04/22/2024
Last updated
09/03/2025
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