| University Of Utah | |
|
450 S 900 E Suite 300 Salt Lake City UT 84102-2981 | |
| (801) 587-2770 | |
| Not Available |
| Full Name | University Of Utah |
|---|---|
| Speciality | Social Worker |
| Location | 450 S 900 E, Salt Lake City, Utah |
| Authorized Official Name and Position | Donna Didas (CLINICAL DIRECTOR) |
| Authorized Official Contact | 8015872770 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| University Of Utah 450 S 900 E Suite 300 Salt Lake City UT 84102-2981 Ph: () - | University Of Utah 450 S 900 E Suite 300 Salt Lake City UT 84102-2981 Ph: (801) 587-2770 |
| NPI Number | 1285002642 |
|---|---|
| Provider Enumeration Date | 09/02/2015 |
| Last Update Date | 09/02/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285002642 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | 9503811-3502 (Utah) | Primary |
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