Whalio Doctors

NPI 1033506720

Benjamin James McCormick

Practitioner Urology Physician Salt Lake City, UT

Practice location

Address
50 N Medical Dr, Salt Lake City, UT 84132-7235
Phone
(801) 213-2704
Fax
(801) 585-2891
Mailing address
2113 Physicians Office Building 170 Manning Drive, Cb 7235, Chapel Hill, NC 27599-7235

Registered specialties

Urology Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208800000X Licence 11781995-1205 (UT)

Registry record

NPI
1033506720
Entity type
Individual
Sex (as registered)
Male
NPI issued
20 Apr 2015
Record last updated
13 Apr 2022

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.