Organization
BOB WEITZEL, MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT ALLAN WEITZEL MD (OWNER)
(214) 693-2029
Entity
Organization
Contact information
Practice address
78 U ST, SALT LAKE CITY, UT 84103-4304
(214) 693-2029
Mailing address
78 U ST, SALT LAKE CITY, UT 84103-4304
(214) 693-2029
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
187798-1205
UT
Other
Enumeration date
10/29/2013
Last updated
11/27/2017
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