University Of Utah Redwood Center

NPI 1164568101 - Clinic/Center - 261QM2500X

NPI Details
NPI 1164568101
Enumeration Date 01/29/2007
Last Updated 04/20/2008
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name LEANN M LEANN
Position RN CLINICAL NURSE
Phone (801) 213-9990
Fax
Practice Location
1525 W 2100 S
SALT LAKE CITY UT, 84119-1401, US
Phone (801) 213-9990
Fax
Business Location
1525 W 2100 S
SALT LAKE CITY UT, 84119-1401, US
Phone (801) 213-9990
Fax
Toxanomy
Taxonomy Code 261QM2500X
License State Utah
License Number 2099403102
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According to our database, University Of Utah Redwood Center NPI is 1164568101, taxonomy code is 261QM2500X and license number is 2099403102, license state is located at Utah. University Of Utah Redwood Center physically located at 1525 W 2100 S, Salt Lake City UT, 84119-1401. NPI Number 1033115704 has the healthcare provider type.

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1164568101 NPI number is provided on an as is basis without warranty of any kind. 1164568101 is maintained by the National Plan & Provider Enumeration System. The contents of University Of Utah Redwood Center are for informational purposes only.