Orthopaedic Spine Surgeons

NPI 1245474139 - Surgery - 2086S0127X

NPI Details
NPI 1245474139
Enumeration Date 04/23/2009
Last Updated 04/23/2009
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name CHARLES L CHARLES
Position DEPARTMENT CHAIR
Phone (801) 587-7109
Fax
Practice Location
590 WAKARA WAY
SALT LAKE CITY UT, 84108-1200, US
Phone (801) 587-7109
Fax
Business Location
PO BOX 58108
SALT LAKE CITY UT, 84158-0108, US
Phone (801) 581-3998
Fax
Toxanomy
Taxonomy Code 2086S0127X
License State
License Number
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According to our database, Orthopaedic Spine Surgeons NPI is 1245474139, taxonomy code is 2086S0127X Orthopaedic Spine Surgeons physically located at 590 Wakara Way, Salt Lake City UT, 84108-1200. NPI Number 1033115704 has the healthcare provider type.

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1245474139 NPI number is provided on an as is basis without warranty of any kind. 1245474139 is maintained by the National Plan & Provider Enumeration System. The contents of Orthopaedic Spine Surgeons are for informational purposes only.