Organization
R C HALVERSEN MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY D SCOTT (BILLING MGR)
(801) 577-7055
Entity
Organization
Contact information
Practice address
1160 E 3900 S, 4100, SALT LAKE CITY, UT 84124
(801) 268-3800
(801) 268-3997
Mailing address
1160 E 3900 S, 4100, SALT LAKE CITY, UT 84124
(801) 268-3800
(801) 268-3997
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
07/30/2006
Last updated
07/19/2011
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