NPI 1902982051

Urology Associates Medical Group, PC

Organisation Urology Physician Jackson, WY

Practice location

Address: 555 East Broadway Suite 207, Jackson, WY 83001-9998
Phone: (307) 733-7460
Fax: (307) 733-7482
Mailing address: PO Box 12890, Jackson, WY 83002-2890

Authorised official

Name: Phillip Lowe
Title: President
Phone: (307) 733-7460

Registered specialties (2)

Urology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208800000X Licence 6215A (WY)

Other Urology providers in Wyoming →

Pediatric Urology Physician

Allopathic & Osteopathic Physicians Taxonomy 2088P0231X Licence 6215A (WY)

Registry record

NPI: 1902982051
Entity type: Organization
NPI issued: 31 Oct 2006
Record last updated: 26 Aug 2015

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.