Organization
WASATCH VASCULAR CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGG MILLER MD (AUTHORIZED OFFICIAL)
(610) 644-8900
Entity
Organization
Contact information
Practice address
3702 S STATE ST STE 103, SALT LAKE CITY, UT 84115-5096
(801) 281-0027
(801) 262-1533
Mailing address
40 VALLEY STREAM PKWY STE 100, MALVERN, PA 19355-1407
(610) 644-8900
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
—
—
Other
Enumeration date
11/05/2019
Last updated
02/10/2023
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