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1790794576
PEDIATRIC UROLOGY ASSOCIATES
SALT LAKE CITY, UT
NPI
1790794576
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Entity Type
Organization
Authorized Contact
JANELL I MADONNA
Director Of Contracting And Pe
801-587-6464
Organization Subpart ?
No
Primary Taxonomy
208800000X Urology
Enumeration Date
2006-08-07
Last Update Date
2009-04-14
Business Address
PEDIATRIC UROLOGY ASSOCIATES
100 MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113-1103
Phone number: 801-588-2000
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Mailing Address
PEDIATRIC UROLOGY ASSOCIATES
PO BOX 413035
SALT LAKE CITY, UT 84141-0001
Phone number: 801-213-3800
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