Organization
DOCTORS HOUSE CALLS OF UTAH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINA LYNN PIKE (ADMINISTRATOR)
(208) 985-2260
Entity
Organization
Contact information
Practice address
1250 E 3900 S STE 440, SALT LAKE CITY, UT 84124-1349
(801) 791-5710
Mailing address
1552 N CRESTMONT DR STE B, MERIDIAN, ID 83642-2193
(208) 957-5532
(208) 985-2260
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
09/23/2020
Last updated
10/15/2020
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