| Salt Lake Infectious Disease, Llc | |
|
1060 E 100 S Suite L10 Salt Lake City UT 84102-1501 | |
| (801) 328-1260 | |
| Not Available |
| Full Name | Salt Lake Infectious Disease, Llc |
|---|---|
| Speciality | Internal Medicine - Infectious Disease |
| Location | 1060 E 100 S, Salt Lake City, Utah |
| Authorized Official Name and Position | Jody K Meza (PRACTICE ADMINISTRATOR) |
| Authorized Official Contact | 8013281260 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Salt Lake Infectious Disease, Llc 1060 E 100 S Suite L10 Salt Lake City UT 84102-1501 Ph: (801) 328-1260 | Salt Lake Infectious Disease, Llc 1060 E 100 S Suite L10 Salt Lake City UT 84102-1501 Ph: (801) 328-1260 |
| NPI Number | 1750523338 |
|---|---|
| Provider Enumeration Date | 03/30/2009 |
| Last Update Date | 03/30/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750523338 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
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