Bryner Clinic | |
525 E 100 S Suite 500 Salt Lake City UT 84102-4210 | |
(801) 519-7100 | |
Not Available |
Full Name | Bryner Clinic |
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Speciality | Internal Medicine |
Location | 525 E 100 S, Salt Lake City, Utah |
Authorized Official Name and Position | Linda C Leckman (CEO INTERMOUNTAIN MEDICAL GROUP) |
Authorized Official Contact | 8014423974 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Bryner Clinic Po Box 27128 Salt Lake City UT 84127-0128 Ph: (801) 519-7100 | Bryner Clinic 525 E 100 S Suite 500 Salt Lake City UT 84102-4210 Ph: (801) 519-7100 |
NPI Number | 1225163702 |
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Provider Enumeration Date | 02/23/2007 |
Last Update Date | 07/31/2008 |
Identifier | Type | State | Issuer |
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1225163702 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 19950476 (Utah) | Primary |
208000000X | Pediatrics | 19950476 (Utah) | Secondary |
2085B0100X | Radiology - Body Imaging | 19950476 (Utah) | Secondary |
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