Organization
ALVIN J WIRTHLIN MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALVIN J WIRTHLIN MD (PRESIDENT)
(801) 364-0551
Entity
Organization
Contact information
Practice address
324 10TH AVE, SUITE 228, SALT LAKE CITY, UT 84103
(801) 364-0551
Mailing address
1500 ALTA CIRCLE, SALT LAKE CITY, UT 84103
(801) 364-0551
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
1550161205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
870269232498
—
UT
Enumeration date
08/31/2006
Last updated
08/22/2020
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