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Organization

UNIVERSITY OF UTAH ADULT SERVICES

Active
Parent organization
UNIVERSITY OF UTAH ADULT SERVICES
Other names
University of Utah Rehabilitation & Wellness Program
Organization subpart
Yes

Provider details

NPI number
Legal business name
UNIVERSITY OF UTAH ADULT SERVICES
Authorized official
SEAN MULVIHILL MD (CHIEF MEDICAL OFFICER)
(801) 587-6336
Entity
Organization

Contact information

Practice address
520 S WAKARA WAY, 302, SALT LAKE CITY, UT 84108-1213
(801) 581-2121
Mailing address
PO BOX 413033, SALT LAKE CITY, UT 84141-3033
(801) 587-6336

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary

Other

Enumeration date
10/21/2014
Last updated
10/21/2014
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