Dr. Larry E Urry
Dermatologist Dermatopathologist Procedural Dermatology Pediatric Dermatologist
1325 W South Jordan Pkwy Ste 103
South Jordan
, Utah 84095
Dr. Larry E Urry
Dermatologist Dermatopathologist Procedural Dermatology Pediatric Dermatologist
1325 W South Jordan Pkwy Ste 103
South Jordan
, Utah 84095
(801) 987-8467
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About
Features
Specialties
- Dermatologist
- Dermatopathologist
- Pediatric Dermatologist
- Procedural Dermatology
Languages spoken
- English
Location
First Address
- Dr. Larry E Urry
- 1325 W South Jordan Pkwy Ste 103
- South Jordan, UT
- Zip : 84095-9060
- Fax : (801) 987-8467
- Phone : (801) 232-6556
Second Address
- Dr. Larry E Urry
- 1325 W South Jordan Pkwy Ste 103
- South Jordan, UT
- Zip : 84095
- Fax : (018) 987-8467
- Phone : (801) 232-6556
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207N00000X | Dermatologist | 177611-1205 | UT |
| N | 207ND0900X | Dermatopathologist | 177611-1205 | UT |
| N | 207NP0225X | Pediatric Dermatologist | 177611-1205 | UT |
| N | 207NS0135X | Procedural Dermatology | 177611-1205 | UT |
National Provider Identifier
| NPI | 1083716955 |
|---|---|
| Provider Name | Dr. Larry E Urry |
| First Address | South Jordan, UT 84095-9060 |
| Second Address | South Jordan, UT 84095 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/09/2006 |
| Last Update Date | 04/03/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| F21964 | (02) | UT |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.