Organization
INTERNAL MED- CARDIOLOGY- EP- DEPT OF UNIVERSITY OF UTAH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA MORENO (PROVIDER ENROLLMENT)
(801) 587-6336
Entity
Organization
Contact information
Practice address
50 N MEDICAL DR, SALT LAKE CITY, UT 84132-0100
(801) 213-3800
Mailing address
PO BOX 413033, SALT LAKE CITY, UT 84141-3033
(801) 213-3800
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
UT
Other
Enumeration date
06/27/2011
Last updated
10/25/2011
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