Id Consults Pllc

NPI 1184944803 - Internal Medicine - 207RI0200X

NPI Details
NPI 1184944803
Enumeration Date 06/03/2010
Last Updated 12/02/2015
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name STEPHANIE STEPHANIE
Position MANAGER
Phone (801) 748-1173
Fax (801) 748-1163
Practice Location
6360 S 3000 E
STE 230
COTTONWOOD HEIGHTS UT, 84121-6923, US
Phone (801) 748-1173
Fax (801) 748-1163
Business Location
7929 FOREST OAKS CT
SALT LAKE CITY UT, 84121-5737, US
Phone (801) 274-0317
Fax
Toxanomy
Taxonomy Code 207RI0200X
License State
License Number
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According to our database, Id Consults Pllc NPI is 1184944803, taxonomy code is 207RI0200X Id Consults Pllc physically located at 6360 S 3000 E, Cottonwood Heights UT, 84121-6923. NPI Number 1033115704 has the healthcare provider type.

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1184944803 NPI number is provided on an as is basis without warranty of any kind. 1184944803 is maintained by the National Plan & Provider Enumeration System. The contents of Id Consults Pllc are for informational purposes only.