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Individual

TERRY D BOX

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
30 N 1900 E, 4R118 SOM, SALT LAKE CITY, UT 84132-6923
(801) 581-7804
(801) 581-7476
Mailing address
1779 MILL LN, SALT LAKE CITY, UT 84106-3221
(801) 277-8254

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
163791-1205
UT
207RT0003X
Transplant Hepatology Physician
163791-1205
UT

Other

Enumeration date
08/14/2006
Last updated
10/28/2021
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