| U-u Infectious Disease Division | |
|
50 N Medical Dr Salt Lake City UT 84132-0001 | |
| (801) 587-6336 | |
| Not Available |
| Full Name | U-u Infectious Disease 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 | 8015876454 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| U-u Infectious Disease Division Po Box 413033 Salt Lake City UT 84141-0001 Ph: (801) 587-6336 | U-u Infectious Disease Division 50 N Medical Dr Salt Lake City UT 84132-0001 Ph: (801) 587-6336 |
| NPI Number | 1942233176 |
|---|---|
| Provider Enumeration Date | 07/09/2006 |
| Last Update Date | 02/14/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942233176 | NPI | - | NPPES |
| 100502333 | Medicaid | NV | |
| 805957200 | Medicaid | ID |
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