| U U General Medicine Division | |
|
50 N Medical Dr Salt Lake City UT 84132-0001 | |
| (801) 581-7606 | |
| Not Available |
| Full Name | U U General Medicine Division |
|---|---|
| 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 General Medicine Division Po Box 413033 Salt Lake City UT 84141-0001 Ph: (801) 213-3800 | U U General Medicine Division 50 N Medical Dr Salt Lake City UT 84132-0001 Ph: (801) 581-7606 |
| NPI Number | 1710910948 |
|---|---|
| Provider Enumeration Date | 07/09/2006 |
| Last Update Date | 04/14/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710910948 | NPI | - | NPPES |
| 100501968 | Medicaid | NV | |
| 805951100 | Medicaid | ID | |
| 176526501 | Medicaid | TX | |
| 94003449 | Medicaid | CO | |
| 7125255 | Medicaid | WA |
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