University Of Utah Adult Services
General Practice in Salt Lake City, UT. Organization (NPI-2).
NPI number1114321981
StatusActive
Last updated in NPPESOct 22, 2014
Details
- NPI
- 1114321981
- Entity type
- Organization (NPI-2)
- Legal business name
- University Of Utah Adult Services
- Organization subpart
- No
- Enumeration date
- Oct 22, 2014
- Last updated
- Oct 22, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208D00000X | General Practice | – | – | Yes |
Practice location
50 N Medical DrSalt Lake City, UT 84132-0001
Phone 801-581-2121
Mailing address
Po Box 413033Salt Lake City, UT 84141-3033
Phone 801-587-6336
Authorized official
Sean Mulvihill
Chief Medical Officer
8015876336
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