Ldsh Geriatrics | |
440 D St Ste 202 Salt Lake City UT 84103-2817 | |
(801) 408-8600 | |
Not Available |
Full Name | Ldsh Geriatrics |
---|---|
Speciality | Clinic/center - Multi-specialty |
Location | 440 D St, 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 |
---|---|
Ldsh Geriatrics Po Box 27128 Salt Lake City UT 84127-0128 Ph: (801) 442-1400 | Ldsh Geriatrics 440 D St Ste 202 Salt Lake City UT 84103-2817 Ph: (801) 408-8600 |
NPI Number | 1841528726 |
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Provider Enumeration Date | 12/03/2009 |
Last Update Date | 12/03/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1841528726 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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