Organization
HUNTER IMAGING ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDGAR BOOTH (PRESIDENT)
(801) 652-4466
Entity
Organization
Contact information
Practice address
3725 W 4100 S, WEST VALLEY CITY, UT 84120-5530
(801) 652-4466
Mailing address
PO BOX 1169, BOUNTIFUL, UT 84011-1169
(801) 296-2113
(801) 296-1715
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
5708575
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
120440800
—
WY
05
—
7129844
—
WA
05
—
807039400
—
ID
Enumeration date
07/29/2005
Last updated
11/28/2018
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