| U U Cardiology Division School Of Medicine | |
|
50 N Medical Dr Salt Lake City UT 84132-0001 | |
| (801) 581-2121 | |
| Not Available |
| Full Name | U U Cardiology Division School Of Medicine |
|---|---|
| Speciality | Internal Medicine |
| Location | 50 N Medical Dr, Salt Lake City, Utah |
| Authorized Official Name and Position | Janell I Madonna (DIRECTOR OF CONTRACTING AND PE) |
| Authorized Official Contact | 8015876464 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| U U Cardiology Division School Of Medicine Po Box 413033 Salt Lake City UT 84141-0001 Ph: (801) 213-3800 | U U Cardiology Division School Of Medicine 50 N Medical Dr Salt Lake City UT 84132-0001 Ph: (801) 581-2121 |
| NPI Number | 1952330813 |
|---|---|
| Provider Enumeration Date | 07/02/2006 |
| Last Update Date | 04/14/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952330813 | NPI | - | NPPES |
| 876000525271 | Medicaid | UT | |
| 122305400 | Medicaid | WY | |
| 122305401 | Medicaid | WY | |
| 805951400 | Medicaid | ID | |
| H9691 | Medicaid | NM | |
| 100502131 | Medicaid | NV | |
| 190225100 | Other | DEPARTMENT OF LABOR | |
| 807289000 | Medicaid | ID |
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