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Organization
SALT LAKE FAMILY HEALTH CNTR
Active
Organization
SALT LAKE FAMILY HEALTH CNTR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL RICHARD SWOBODA MD (PRESIDENT)
(801) 350-4479
Entity
Organization
Contact information
Practice address
1002 E SOUTH TEMPLE 404, SALT LAKE CITY, UT 84102
(801) 350-4479
(801) 350-4377
Mailing address
1002 E SOUTH TEMPLE 404, SALT LAKE CITY, UT 84102
(801) 350-4479
(801) 350-4377
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
27746451205
UT
207Q00000X
Family Medicine Physician
Primary
3560871205
UT
Other
Enumeration date
08/29/2006
Last updated
08/22/2020
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