NPI 1013522564

Male Fertility and Peyronie's Clinic

Organisation Urology Physician Orem, UT

Practice location

Address: 1443 W 800 N STE 302, Orem, UT 84057-2883
Phone: (801) 655-0015
Fax: (801) 655-0048

Authorised official

Name: Landon Trost
Title: Owner, MD
Phone: (801) 655-0015

Registered specialties (3)

Urology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208800000X

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Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X

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Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363L00000X

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Registry record

NPI: 1013522564
Entity type: Organization
NPI issued: 11 Sep 2020
Record last updated: 12 May 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.