Lucinda Bateman Md Pc | |
1002 E South Temple Ste 408 Salt Lake City UT 84102-1571 | |
(801) 359-7400 | |
(801) 359-7404 |
Full Name | Lucinda Bateman Md Pc |
---|---|
Speciality | Internal Medicine |
Location | 1002 E South Temple Ste 408, Salt Lake City, Utah |
Authorized Official Name and Position | Lucinda Bateman (OWNER) |
Authorized Official Contact | 8013597400 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Lucinda Bateman Md Pc 1002 E South Temple Ste 408 Salt Lake City UT 84102-1571 Ph: (801) 359-7400 | Lucinda Bateman Md Pc 1002 E South Temple Ste 408 Salt Lake City UT 84102-1571 Ph: (801) 359-7400 |
NPI Number | 1437489028 |
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Provider Enumeration Date | 01/05/2010 |
Last Update Date | 11/13/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1437489028 | NPI | - | NPPES |
0491073 | Other | UT | UNITED HEALTHCARE |
528929987015 | Medicaid | UT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 178153 1205 (Utah) | Primary |
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