| Ted R Schultz Md Llc | |
|
866 Padley St Salt Lake City UT 84108-1414 | |
| (801) 202-4892 | |
| Not Available |
| Full Name | Ted R Schultz Md Llc |
|---|---|
| Speciality | General Practice |
| Location | 866 Padley St, Salt Lake City, Utah |
| Authorized Official Name and Position | Ted R Schultz (OWNER) |
| Authorized Official Contact | 8012024892 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ted R Schultz Md Llc 555 E 4500 S C150 Salt Lake City UT 84107-4533 Ph: (801) 288-0747 | Ted R Schultz Md Llc 866 Padley St Salt Lake City UT 84108-1414 Ph: (801) 202-4892 |
| NPI Number | 1003069246 |
|---|---|
| Provider Enumeration Date | 10/31/2008 |
| Last Update Date | 10/31/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003069246 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 348875-1205 (Utah) | Primary |
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