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Organization

UNIVERSITY OF UTAH ORTHOPEDIC CONSULTANTS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHARLES L SALTZMAN MD (DEPARTMENT CHAIR)
(801) 581-3998
Entity
Organization

Contact information

Practice address
590 WAKARA WAY, SALT LAKE CITY, UT 84108-1200
(801) 581-3998
Mailing address
PO BOX 58108, SALT LAKE CITY, UT 84158-0108
(801) 581-3998

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
207XS0106X
Orthopaedic Hand Surgery Physician
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
207XS0117X
Orthopaedic Surgery of the Spine Physician
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
207XX0801X
Orthopaedic Trauma Physician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
003062200
IDAHO MEDICAID
ID
01
100502780
NEVADA MEDICAID
NV
01
108139000
WYOMING MEDICAID
WY
Enumeration date
06/23/2006
Last updated
09/06/2011
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