Ldsh Cc Midvalley-slc | |
333 S 900 E Salt Lake City UT 84102-2310 | |
(801) 535-8163 | |
(801) 355-3869 |
Full Name | Ldsh Cc Midvalley-slc |
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Speciality | Clinic/center - Multi-specialty |
Location | 333 S 900 E, Salt Lake City, Utah |
Authorized Official Name and Position | Kelly J Howard (DIRECTOR) |
Authorized Official Contact | 8014421425 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Ldsh Cc Midvalley-slc Po Box 27128 Salt Lake City UT 84127-0128 Ph: (801) 442-1400 | Ldsh Cc Midvalley-slc 333 S 900 E Salt Lake City UT 84102-2310 Ph: (801) 535-8163 |
NPI Number | 1952631772 |
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Provider Enumeration Date | 12/29/2009 |
Last Update Date | 12/29/2009 |
Identifier | Type | State | Issuer |
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1952631772 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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