Organization
TED R SCHULTZ MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TED R SCHULTZ M.D. (OWNER)
(801) 202-4892
Entity
Organization
Contact information
Practice address
866 PADLEY ST, SALT LAKE CITY, UT 84108-1414
(801) 202-4892
Mailing address
555 E 4500 S, C150, SALT LAKE CITY, UT 84107-4533
(801) 288-0747
(801) 288-0761
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
348875-1205
UT
Other
Enumeration date
10/31/2008
Last updated
10/31/2008
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