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Organization

UNIVERSITY OF UTAH DEPT OF OBGYN UROGYNECOLOGY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ERICKA LINDLEY (CLINICAL ADMIN MANAGER)
(801) 581-3118
Entity
Organization

Contact information

Practice address
50 N MEDICAL DR, SALT LAKE CITY, UT 84132-0001
(801) 581-2719
Mailing address
PO BOX 58859, SALT LAKE CITY, UT 84158-0859
(801) 213-3800

Taxonomy

Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
208800000X
Urology Physician
Primary

Other

Enumeration date
03/16/2007
Last updated
07/26/2007
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