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Organization

INTERMOUNTAIN PEDIATRIC DIALYSIS

Active
Other names
University of Utah
Organization subpart
No

Provider details

NPI number
Authorized official
MR. STEVEN L HEMMING (PROGRAM ADMINISTRATOR)
(801) 581-8573
Entity
Organization

Contact information

Practice address
50 N MEDICAL DR, PA 220, SALT LAKE CITY, UT 84132-0001
(801) 581-4561
Mailing address
PO BOX 27071, SALT LAKE CITY, UT 84127-0071
(801) 581-8578

Taxonomy

Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
2006-HOSP-208
UT

Other

Enumeration date
09/22/2006
Last updated
01/23/2008
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