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Organization

ADVANCED VEIN AND VASCULAR OF SALT LAKE CITY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LYNSEY NIELSEN (CLINICAL ADMINISTRATOR)
(385) 388-8003
Entity
Organization

Contact information

Practice address
6321 S REDWOOD RD STE 102, SALT LAKE CITY, UT 84123-6799
(385) 388-8003
(385) 344-4006
Mailing address
6321 S REDWOOD RD STE 102, SALT LAKE CITY, UT 84123-6799
(385) 388-8003
(385) 344-4006

Taxonomy

Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
213ES0103X
Foot & Ankle Surgery Podiatrist

Other

Enumeration date
03/31/2020
Last updated
08/22/2023
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