| Bob Weitzel, Md, Pc | |
|
78 U St Salt Lake City UT 84103-4304 | |
| (214) 693-2029 | |
| Not Available |
| Full Name | Bob Weitzel, Md, Pc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 78 U St, Salt Lake City, Utah |
| Authorized Official Name and Position | Robert Allan Weitzel (OWNER) |
| Authorized Official Contact | 2146932029 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bob Weitzel, Md, Pc 78 U St Salt Lake City UT 84103-4304 Ph: (214) 693-2029 | Bob Weitzel, Md, Pc 78 U St Salt Lake City UT 84103-4304 Ph: (214) 693-2029 |
| NPI Number | 1386072338 |
|---|---|
| Provider Enumeration Date | 10/29/2013 |
| Last Update Date | 11/27/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386072338 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 187798-1205 (Utah) | Primary |
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