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Organization

ADVANCED DYSPHAGIA DIAGNOSTICS LLC

Active
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Organization

ADVANCED DYSPHAGIA DIAGNOSTICS LLC

Active
Parent organization
ADVANCED DYSPHAGIA DIAGNOSTICS LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
ADVANCED DYSPHAGIA DIAGNOSTICS LLC
Authorized official
KIMBERLY A GEMMELL (OWNER)
(909) 213-5967
Entity
Organization

Contact information

Practice address
1465 S UTE DR, SALT LAKE CITY, UT 84108-2433
(909) 213-5967
(509) 356-4607
Mailing address
236 S 3RD ST STE 332, MONTROSE, CO 81401-3618
(909) 213-5967

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—

Other

Enumeration date
10/02/2019
Last updated
10/02/2019
About Stedi
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