| University Of Utah Hospitals And Clinics | |
|
1525 W 2100 S Salt Lake City UT 84119-1401 | |
| (801) 213-9900 | |
| Not Available |
| Full Name | University Of Utah Hospitals And Clinics |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 1525 W 2100 S, Salt Lake City, Utah |
| Authorized Official Name and Position | Susan A Terry (MEDICAL DIRECTOR) |
| Authorized Official Contact | 8015876307 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| University Of Utah Hospitals And Clinics Po Box 510708 Salt Lake City UT 84151-0708 Ph: (801) 587-6600 | University Of Utah Hospitals And Clinics 1525 W 2100 S Salt Lake City UT 84119-1401 Ph: (801) 213-9900 |
| NPI Number | 1811941438 |
|---|---|
| Provider Enumeration Date | 05/19/2006 |
| Last Update Date | 09/07/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811941438 | NPI | - | NPPES |
| 807076500 | Medicaid | ID | |
| CH7050 | Other | UT | RAILROAD MEDICARE |
| 4974170001 | Other | MEDICARE DME | |
| 100505587 | Medicaid | NV | |
| 121530200 | Medicaid | WY |
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