Organization
UTAH BODY & SOUL
Active
Organization
UTAH BODY & SOUL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEANNE LONG MD (OWNER)
(801) 987-8786
Entity
Organization
Contact information
Practice address
6440 S WASATCH BLVD STE 320, HOLLADAY, UT 84121-3537
(801) 987-8786
Mailing address
6440 S WASATCH BLVD STE 320, HOLLADAY, UT 84121-3537
(801) 987-8786
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
—
—
207PE0005X
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
Primary
—
—
363LG0600X
Gerontology Nurse Practitioner
—
—
367A00000X
Advanced Practice Midwife
—
—
Other
Enumeration date
05/20/2021
Last updated
05/20/2021
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