Organization
ACCIDENT ER
Active
Other names
Accident ER
Organization subpart
No
Provider details
NPI number
Authorized official
PEDRO LIRA (HEALTHCARE ADMINISTRATOR)
(801) 755-7181
Entity
Organization
Contact information
Practice address
1515 E FORT UNION BLVD, COTTONWOOD HEIGHTS, UT 84121-2855
(801) 755-7181
Mailing address
1515 E FORT UNION BLVD, COTTONWOOD HEIGHTS, UT 84121-2855
(801) 755-7181
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
02/05/2025
Last updated
02/05/2025
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