| University Department Of Family And Preventative Medicine | |
|
555 Foothill Dr Salt Lake City UT 84112-1106 | |
| (801) 585-5382 | |
| Not Available |
| Full Name | University Department Of Family And Preventative Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 555 Foothill Dr, Salt Lake City, Utah |
| Authorized Official Name and Position | Michael K Magill (DEPARTMENT CHAIR) |
| Authorized Official Contact | 8015817294 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| University Department Of Family And Preventative Medicine Po Box 510004 Salt Lake City UT 84151-0004 Ph: (801) 587-6600 | University Department Of Family And Preventative Medicine 555 Foothill Dr Salt Lake City UT 84112-1106 Ph: (801) 585-5382 |
| NPI Number | 1528012770 |
|---|---|
| Provider Enumeration Date | 05/20/2006 |
| Last Update Date | 09/06/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528012770 | NPI | - | NPPES |
| CG9439 | Other | RAILROAD | |
| 876000525706 | Medicaid | UT | |
| CC6626 | Other | RAILROAD | |
| 100506044 | Medicaid | NV | |
| 807262100 | Medicaid | ID |
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