Srs Program | |
2472 S 300 E Salt Lake City UT 84115-2895 | |
(801) 415-7591 | |
(801) 415-7533 |
Full Name | Srs Program |
---|---|
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 2472 S 300 E, Salt Lake City, Utah |
Authorized Official Name and Position | Debra Lynn S Falvo (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 8012637100 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Srs Program 5965 S 900 E Suite 420 Salt Lake City UT 84121-1720 Ph: (801) 263-7100 | Srs Program 2472 S 300 E Salt Lake City UT 84115-2895 Ph: (801) 415-7591 |
NPI Number | 1205892080 |
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Provider Enumeration Date | 04/21/2006 |
Last Update Date | 08/25/2011 |
Identifier | Type | State | Issuer |
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1205892080 | NPI | - | NPPES |
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