| Clozaril Clinic | |
|
1141 E 3900 S Suite A250 Salt Lake City UT 84124-1215 | |
| (801) 284-4900 | |
| (801) 284-4901 |
| Full Name | Clozaril Clinic |
|---|---|
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 1141 E 3900 S, Salt Lake City, Utah |
| Authorized Official Name and Position | Debra Falvo (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8012637100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clozaril Clinic 5965 S 900 E Suite 420 Salt Lake City UT 84121-1720 Ph: (801) 263-7100 | Clozaril Clinic 1141 E 3900 S Suite A250 Salt Lake City UT 84124-1215 Ph: (801) 284-4900 |
| NPI Number | 1417913930 |
|---|---|
| Provider Enumeration Date | 04/24/2006 |
| Last Update Date | 08/25/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417913930 | NPI | - | NPPES |
| 2423 | Other | UT | PEHP |
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