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Individual

DR. SARA A WELLS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2131 E 2100 S, SALT LAKE CITY, UT 84109-1128
(801) 474-0355
(801) 485-8007
Mailing address
2131 E 2100 S, SALT LAKE CITY, UT 84109-1128
(801) 474-0355
(801) 485-8007

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
953098541205
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
080131162
RAILROAD MEDICARE
UT
Enumeration date
09/15/2006
Last updated
03/26/2014
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