Organization
SOUTH WEBER CITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEREK TOLMAN (CHIEF)
(801) 941-5961
Entity
Organization
Contact information
Practice address
7365 S 1375 E, SOUTH WEBER, UT 84405
(801) 941-5961
Mailing address
1600 E SOUTH WEBER DR, SOUTH WEBER, UT 84405-9659
(801) 941-5961
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Enumeration date
06/12/2018
Last updated
08/17/2018
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