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Organization
UNIVERSITY OF UTAH HOSPITALS AND CLINICS
Active
Organization
UNIVERSITY OF UTAH HOSPITALS AND CLINICS
Active
Other names
UUHC Stansbury Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSAN A TERRY MD (MEDICAL DIRECTOR)
(801) 587-6307
Entity
Organization
Contact information
Practice address
220 MILLPOND, STE. 100, STANSBURY PARK, UT 84074-9745
(435) 843-3000
Mailing address
PO BOX 510708, SALT LAKE CITY, UT 84151-0708
(801) 587-6303
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
NULL
152W00000X
Optometrist
—
—
163W00000X
Registered Nurse
—
NULL
163W00000X
Registered Nurse
—
—
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
NULL
207V00000X
Obstetrics & Gynecology Physician
—
—
208000000X
Pediatrics Physician
—
NULL
208000000X
Pediatrics Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
—
—
213E00000X
Podiatrist
—
NULL
213E00000X
Podiatrist
—
—
225100000X
Physical Therapist
—
NULL
225100000X
Physical Therapist
—
—
363A00000X
Physician Assistant
—
NULL
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
367A00000X
Advanced Practice Midwife
—
NULL
367A00000X
Advanced Practice Midwife
—
—
Other
Enumeration date
07/29/2008
Last updated
07/29/2008
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