Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208800000X | Urologist | 162420-1205 | UT |
NPI | 1043240989 |
---|---|
Provider Name | Dr. Ronald I Oldroyd |
First Address | Provo, UT 84604-3373 |
Second Address | Provo, UT 84604-3373 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/07/2006 |
Last Update Date | 21/02/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
C63927 | (02) | UT |