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Organization

WASATCH MEDICAL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. MARY D SCOTT (OFFICE MANAGER)
(801) 647-8888
Entity
Organization

Contact information

Practice address
6770 S 900 E, STE 103, MIDVALE, UT 84047-1709
(801) 647-8888
(801) 561-5857
Mailing address
6770 S 900 E, STE 103, MIDVALE, UT 84047-1709
(801) 647-8888
(801) 561-5857

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
168632-1205
UT

Other

Enumeration date
06/07/2013
Last updated
06/07/2013
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