| Medicruiser, Llc | |
|
1850 S 300 W Ste A Salt Lake City UT 84115-2398 | |
| (801) 484-5504 | |
| (801) 484-5538 |
| Full Name | Medicruiser, Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1850 S 300 W, Salt Lake City, Utah |
| Authorized Official Name and Position | Paul M Gahlinger (CEO/DOCTOR) |
| Authorized Official Contact | 8014845504 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Medicruiser, Llc 1850 So. 300 West Ste A Salt Lake City UT 84115-2399 Ph: (801) 484-5504 | Medicruiser, Llc 1850 S 300 W Ste A Salt Lake City UT 84115-2398 Ph: (801) 484-5504 |
| NPI Number | 1386893303 |
|---|---|
| Provider Enumeration Date | 09/15/2008 |
| Last Update Date | 10/21/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386893303 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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