Organization
UTAH CANCER INSTITUTE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BENJAMIN KIM MD (DIRECTOR)
(801) 268-8223
Entity
Organization
Contact information
Practice address
1220 E 3900 S, SUITE 4F, SALT LAKE CITY, UT 84124-1377
(801) 268-8223
Mailing address
1220 E 3900 S, SUITE 4F, SALT LAKE CITY, UT 84124-1377
(801) 268-8223
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
90182397-1205
UT
Other
Enumeration date
02/25/2010
Last updated
02/25/2010
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