Organization
HEART AND LUNG INSTITUTE OF UTAH INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TYLER K WILKO (COO)
(801) 263-2370
Entity
Organization
Contact information
Practice address
5979 FASHION BLVD, MURRAY, UT 84107-7364
(801) 263-2370
(801) 265-1200
Mailing address
PO BOX 847112, DALLAS, TX 75284-7112
(801) 263-2370
(801) 265-1200
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
—
—
207RI0011X
Interventional Cardiology Physician
—
—
207RP1001X
Pulmonary Disease Physician
—
—
207RS0012X
Sleep Medicine (Internal Medicine) Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1811954191
—
UT
Enumeration date
06/02/2006
Last updated
07/17/2014
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