Organization
SUMMIT LASER MEDICAL ARTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID FEUER MD (MEDICAL DIRECTOR)
(801) 414-5339
Entity
Organization
Contact information
Practice address
2952 CAITLAND CT, SALT LAKE CITY, UT 84121-7018
(801) 414-5339
Mailing address
2952 CAITLAND CT, SALT LAKE CITY, UT 84121-7018
(801) 414-5339
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
5252145-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
D4937
—
UT
Enumeration date
10/11/2007
Last updated
10/11/2007
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