Organization
SALT LAKE FAMILY HEALTH CNTR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL RICHARD SWOBODA MD (PRESIDENT)
(801) 350-4479
Entity
Organization
Contact information
Practice address
1002 E SOUTH TEMPLE 404, SALT LAKE CITY, UT 84102
(801) 350-4479
(801) 350-4377
Mailing address
1002 E SOUTH TEMPLE 404, SALT LAKE CITY, UT 84102
(801) 350-4479
(801) 350-4377
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
27746451205
UT
207Q00000X
Family Medicine Physician
Primary
3560871205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
496801378020
—
UT
Enumeration date
08/29/2006
Last updated
08/22/2020
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