Integrated Professional Serv Llc

NPI 1023183043 - Clinic/Center - 261QS1200X

NPI Details
NPI 1023183043
Enumeration Date 11/22/2006
Last Updated 01/26/2012
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name IKHTIARUN IKHTIARUN
Position MANAGER
Phone (801) 747-0921
Fax (801) 747-0986
Practice Location
515 E 4500 S
SUITE G-220
SALT LAKE CITY UT, 84107-4500, US
Phone (801) 747-0921
Fax (801) 747-0986
Business Location
PO BOX 651004
SALT LAKE CITY UT, 84165-1004, US
Phone (801) 747-0921
Fax (801) 747-0986
Toxanomy
Taxonomy Code 261QS1200X
License State Utah
License Number 44633
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According to our database, Integrated Professional Serv Llc NPI is 1023183043, taxonomy code is 261QS1200X and license number is 44633, license state is located at Utah. Integrated Professional Serv Llc physically located at 515 E 4500 S, Salt Lake City UT, 84107-4500. NPI Number 1033115704 has the healthcare provider type.

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1023183043 NPI number is provided on an as is basis without warranty of any kind. 1023183043 is maintained by the National Plan & Provider Enumeration System. The contents of Integrated Professional Serv Llc are for informational purposes only.