Organization
LIFESTYLE HEARING OF UTAH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN RALPH PATER M.A.,AAA (CLINICAL AUDIOLOGIST)
(801) 417-9696
Entity
Organization
Contact information
Practice address
2964 W 4700 S, SUITE 116, SALT LAKE CITY, UT 84129-2557
(801) 417-9696
(801) 417-9697
Mailing address
2964 W 4700 S, SUITE 116, SALT LAKE CITY, UT 84129-2557
(801) 417-9696
(801) 417-9697
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
103915-4101
UT
Other
Enumeration date
02/14/2014
Last updated
02/14/2014
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