| |
1377 E 3900 S, Suite 201, Holladay, UT 84124-1476 | |
(801) 272-1232 | |
(801) 272-1238 |
Full Name | |
---|---|
Type | Facility |
Speciality | Audiologist |
Location | 1377 E 3900 S, Holladay, Utah |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447577911 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
231H00000X | Audiologist | 1009884101 (Utah) | Primary |
Mailing Address | Practice Location Address |
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1377 E 3900 S, Suite 201, Holladay, UT 84124-1476 Ph: (801) 272-1232 | 1377 E 3900 S, Suite 201, Holladay, UT 84124-1476 Ph: (801) 272-1232 |