| Medicruiser Onsite Care | |
|
225 10th Ave Salt Lake City UT 84103-2529 | |
| (801) 484-5504 | |
| (801) 484-5538 |
| Full Name | Medicruiser Onsite Care |
|---|---|
| Speciality | Family Medicine - Geriatric Medicine |
| Location | 225 10th Ave, Salt Lake City, Utah |
| Authorized Official Name and Position | Paul Gahlinger (BILLING MANAGER) |
| Authorized Official Contact | 8014845504 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Medicruiser Onsite Care 225 10th Ave Salt Lake City UT 84103-2529 Ph: (801) 484-5504 | Medicruiser Onsite Care 225 10th Ave Salt Lake City UT 84103-2529 Ph: (801) 484-5504 |
| NPI Number | 1710245402 |
|---|---|
| Provider Enumeration Date | 05/01/2012 |
| Last Update Date | 02/28/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710245402 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | 97-339160-1205 (Utah) | Primary |
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