Individual
SAMUEL RUSH OSIMITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
375 S CHIPETA WAY, SALT LAKE CITY, UT 84108-1260
(801) 581-7766
Mailing address
375 S CHIPETA WAY, SALT LAKE CITY, UT 84108-1260
(801) 581-7766
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10705102-1206
UT
Other
Enumeration date
04/30/2021
Last updated
05/02/2023
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