Organization
U FAMILY HEALTH BILLING UNIVERSITY OF UTAH
Active
Other names
University Department of Family and Preventative Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL K MAGILL MD (DEPARTMENT CHAIR)
(801) 581-7294
Entity
Organization
Contact information
Practice address
555 FOOTHILL DR, SALT LAKE CITY, UT 84112-1106
(801) 585-5382
Mailing address
PO BOX 510004, SALT LAKE CITY, UT 84151-0004
(801) 587-6600
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
133V00000X
Registered Dietitian
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100506044
—
NV
05
—
807262100
—
ID
05
—
876000525706
—
UT
01
—
CC6626
RAILROAD
—
01
—
CG9439
RAILROAD
—
Enumeration date
05/20/2006
Last updated
09/06/2011
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