University Primary Care Sports Med

NPI 1699796706 - Family Medicine - 207QS0010X

NPI Details
NPI 1699796706
Enumeration Date 07/22/2006
Last Updated 09/06/2011
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name MICHAEL K MICHAEL
Position DEPARTMENT CHAIR
Phone (801) 585-5382
Fax
Practice Location
555 FOOTHILL DR
SALT LAKE CITY UT, 84112-1106, US
Phone (801) 585-5382
Fax
Business Location
PO BOX 510004
SALT LAKE CITY UT, 84151-0004, US
Phone (801) 587-6303
Fax
Toxanomy
Taxonomy Code 207QS0010X
License State
License Number
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According to our database, University Primary Care Sports Med NPI is 1699796706, taxonomy code is 207QS0010X University Primary Care Sports Med physically located at 555 Foothill Dr, Salt Lake City UT, 84112-1106. NPI Number 1033115704 has the healthcare provider type.

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1699796706 NPI number is provided on an as is basis without warranty of any kind. 1699796706 is maintained by the National Plan & Provider Enumeration System. The contents of University Primary Care Sports Med are for informational purposes only.