Wasatch Geriatrics Pc

NPI 1619993276 - Internal Medicine - 207RG0300X

NPI Details
NPI 1619993276
Enumeration Date 07/15/2006
Last Updated 01/28/2013
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name CHARLES STEVEN CHARLES
Position OWNER
Phone (801) 272-0255
Fax (801) 947-0840
Practice Location
1414 E 4500 S
#1
SALT LAKE CITY UT, 84117-4228, US
Phone (801) 272-0255
Fax (801) 947-0840
Business Location
PO BOX 307
BOUNTIFUL UT, 84011-0307, US
Phone (801) 294-6907
Fax (801) 294-6917
Toxanomy
Taxonomy Code 207RG0300X
License State Utah
License Number 294016-2401
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According to our database, Wasatch Geriatrics Pc NPI is 1619993276, taxonomy code is 207RG0300X and license number is 294016-2401, license state is located at Utah. Wasatch Geriatrics Pc physically located at 1414 E 4500 S, Salt Lake City UT, 84117-4228. NPI Number 1033115704 has the healthcare provider type.

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1619993276 NPI number is provided on an as is basis without warranty of any kind. 1619993276 is maintained by the National Plan & Provider Enumeration System. The contents of Wasatch Geriatrics Pc are for informational purposes only.