Organization
UNIVERSITY OF UTAH ANDROLOGY ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANELL I MADONNA (DIRECTOR OF CONTRACTING AND PE)
(801) 581-6464
Entity
Organization
Contact information
Practice address
50 N MEDICAL DR, SALT LAKE CITY, UT 84132-0001
(801) 581-2121
Mailing address
PO BOX 58547, SALT LAKE CITY, UT 84158-0547
(801) 581-2121
Taxonomy
Speciality
Code
Description
License number
State
246ZN0300X
Nephrology Specialist/Technologist
Primary
—
—
Other
Enumeration date
12/15/2006
Last updated
04/14/2009
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