Utah Injury Clinic, Llc

NPI 1669611661 - Clinic/Center - 261Q00000X

NPI Details
NPI 1669611661
Enumeration Date 02/13/2009
Last Updated 03/01/2012
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name TOM E TOM
Position MANAGER
Phone (801) 747-2886
Fax (801) 716-3532
Practice Location
4700 S 900 E STE 41G
SALT LAKE CITY UT, 84117-4938, US
Phone (801) 747-2886
Fax (801) 716-3532
Business Location
4700 S 900 E STE 41G
SALT LAKE CITY UT, 84117-4938, US
Phone (801) 376-9596
Fax (801) 716-3532
Toxanomy
Taxonomy Code 261Q00000X
License State Utah
License Number 6715760-1202
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According to our database, Utah Injury Clinic, Llc NPI is 1669611661, taxonomy code is 261Q00000X and license number is 6715760-1202, license state is located at Utah. Utah Injury Clinic, Llc physically located at 4700 S 900 E Ste 41g, Salt Lake City UT, 84117-4938. NPI Number 1033115704 has the healthcare provider type.

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1669611661 NPI number is provided on an as is basis without warranty of any kind. 1669611661 is maintained by the National Plan & Provider Enumeration System. The contents of Utah Injury Clinic, Llc are for informational purposes only.