Individual
DR. MAX S LUNDBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11333 S 1000 E, SUITE 100, SANDY, UT 84094
(801) 571-4100
Mailing address
11333 S 1000 E, SUITE 100, SANDY, UT 84094-5429
(801) 571-4100
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
1731351205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110033926
RAILROAD MEDICARE
UT
Enumeration date
08/31/2005
Last updated
05/16/2018
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