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Organization

PHYSICIAN HOUSE CALLS, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BONNIE J LEE M.D. (OWNER)
(801) 557-4595
Entity
Organization

Contact information

Practice address
554 S 800 E, APT. A, SALT LAKE CITY, UT 84102-2931
(801) 557-4595
(801) 596-8080
Mailing address
PO BOX 2106, SANDY, UT 84091-2106
(801) 557-4595
(801) 596-8080

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1711891205
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1790779106
UT
Enumeration date
06/29/2006
Last updated
10/31/2008
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