| University Primary Care Sports Med | |
|
555 Foothill Dr Salt Lake City UT 84112-1106 | |
| (801) 585-5382 | |
| Not Available |
| Full Name | University Primary Care Sports Med |
|---|---|
| Speciality | Family Medicine - Sports Medicine |
| Location | 555 Foothill Dr, Salt Lake City, Utah |
| Authorized Official Name and Position | Michael K Magill (DEPARTMENT CHAIR) |
| Authorized Official Contact | 8015855382 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| University Primary Care Sports Med Po Box 510004 Salt Lake City UT 84151-0004 Ph: (801) 587-6303 | University Primary Care Sports Med 555 Foothill Dr Salt Lake City UT 84112-1106 Ph: (801) 585-5382 |
| NPI Number | 1699796706 |
|---|---|
| Provider Enumeration Date | 07/22/2006 |
| Last Update Date | 09/06/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699796706 | NPI | - | NPPES |
| 807551900 | Other | ID | IDAHO MEDICAID |
| DG1456 | Other | UT | RAILROAD MEDICARE |
| 100510167 | Other | NV | NEVADA MEDICAID |
| 123613000 | Other | WY | WYOMING MEDICAID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QS0010X | Family Medicine - Sports Medicine | (* (Not Available)) | Primary |
Ted R Schultz Md Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 866 Padley St, Salt Lake City, UT 84108 Phone: 801-202-4892 | |
Intermountain Healthcare Flu Shot Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 776 N Terminal Dr, Salt Lake City, UT 84122 Phone: 801-292-6100 | |
U-u Pulmonary Division Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 50 N Medical Dr, Salt Lake City, UT 84132 Phone: 801-581-2121 | |
Ldsh Cancer Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 370 9th Ave, Salt Lake City, UT 84103 Phone: 801-442-1400 | |
Bmt Division Department Of University Of Utah Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1950 Circle Of Hope Dr, Salt Lake City, UT 84112 Phone: 801-581-2121 | |
All For Women Healthcare, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2605 E 3300 S, Salt Lake City, UT 84109 Phone: 801-746-7467 Fax: 801-746-7469 | |
University Of Utah Hospital Infectious Disease Division Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 50 N Medical Dr, Salt Lake City, UT 84132 Phone: 801-587-6336 |