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Individual

ROBERT LARRY CURTIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
1200 E 3900 S, SALT LAKE CITY, UT 84124-1300
(801) 993-9530
(801) 733-5618
Mailing address
1954 FORT UNION BLVD, SALT LAKE CITY, UT 84121-6800
(801) 993-9530

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
364227-1204
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
107003796101
IHC
UT
05
4314
UT
01
64011
PEHP
UT
01
755103
DESERET MUTUAL
UT
01
PRA05249
MOLINA
UT
01
QM0000049976
ALTIUS
UT
Enumeration date
09/20/2006
Last updated
07/09/2007
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