Organization
UPRI TAYLORSVILLE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIE NGOC NGUYEN (MANAGER)
(801) 281-0555
Entity
Organization
Contact information
Practice address
1972 W 5400 S, SUITE 100, TAYLORSVILLE, UT 84129-1459
(801) 281-0555
(801) 281-0444
Mailing address
32 W WINCHESTER ST, SUITE 100, SALT LAKE CITY, UT 84107-5607
(801) 281-0555
(801) 281-0444
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
169541-1205
UT
Other
Enumeration date
05/16/2012
Last updated
05/16/2012
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