| Utah Injury Clinic, Llc | |
|
4700 S 900 E Ste 41g Salt Lake City UT 84117-4938 | |
| (801) 747-2886 | |
| (801) 716-3532 |
| Full Name | Utah Injury Clinic, Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 4700 S 900 E Ste 41g, Salt Lake City, Utah |
| Authorized Official Name and Position | Tom E Grant (MANAGER) |
| Authorized Official Contact | 8017472886 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Utah Injury Clinic, Llc 4700 S 900 E Ste 41g Salt Lake City UT 84117-4938 Ph: (801) 376-9596 | Utah Injury Clinic, Llc 4700 S 900 E Ste 41g Salt Lake City UT 84117-4938 Ph: (801) 747-2886 |
| NPI Number | 1669611661 |
|---|---|
| Provider Enumeration Date | 02/13/2009 |
| Last Update Date | 03/01/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669611661 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 6715760-1202 (Utah) | Primary |
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