# USA VASCULAR CENTERS OF UTAH LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1841802352
- **Authorized official:** YAN KATSNELSON MD (CEO / PRESIDENT)
- **Authorized official phone:** (847) 593-8460

## Contact information

- **Practice address:** 3479 W 4800 S STE A, ROY, UT 84067-9429
- **Practice address phone:** (385) 386-3698
- **Mailing address:** 304 WAINWRIGHT DR, NORTHBROOK, IL 60062-1900
- **Mailing address phone:** (847) 593-8460
- **Mailing address fax:** (224) 235-4652

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | — | NULL | Yes |
| 2086S0129X | Vascular Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/18/2020
- **Last updated:** 08/18/2020