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Organization
INTERMOUNTAIN EAR,NOSE, AND THROAT SPECIALISTS LLC
Active
Organization
INTERMOUNTAIN EAR,NOSE, AND THROAT SPECIALISTS LLC
Active
Other names
Ear,Nose and Throat Center of Salt Lake City
Organization subpart
No
Provider details
NPI number
Authorized official
EVON PEFAUR CPC (BILLING MANAGER)
(801) 328-2522
Entity
Organization
Contact information
Practice address
22 S 900 E, SALT LAKE CITY, UT 84102-1307
(801) 328-2522
(801) 924-2900
Mailing address
22 S 900 E, SALT LAKE CITY, UT 84102-1307
(801) 328-2522
(801) 924-2900
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
NULL
Other
Enumeration date
08/31/2006
Last updated
04/20/2008
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