Organization
U-U REHABILITATION MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOESPH BRADLEY WEBSTER MD (DEPARTMENT CHAIR)
(801) 581-2268
Entity
Organization
Contact information
Practice address
50 N MEDICAL DR, SALT LAKE CITY, UT 84132-0001
(801) 581-2268
Mailing address
PO BOX 58609, SALT LAKE CITY, UT 84158-0609
(801) 213-3800
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
2081P0004X
Spinal Cord Injury Medicine Physician
—
—
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
—
—
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100502714
NEVADA MEDICAID
NV
01
—
122314300
WYOMING MEDICAID
WY
05
—
876000525401
—
UT
Enumeration date
07/01/2006
Last updated
09/06/2011
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