Individual
MRS. ADELAIDE ROBINSON SLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1388 S NAVAJO ST, SUITE C, SALT LAKE CITY, UT 84104-3493
(801) 955-2360
(801) 982-9232
Mailing address
4745 S 3200 W, TAYLORSVILLE, UT 84129-2822
(801) 858-3461
(801) 955-2389
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
51664
CO
207Q00000X
Family Medicine Physician
Primary
9429781-1205
UT
Other
Enumeration date
04/04/2011
Last updated
08/03/2015
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