Organization
SANTIBANEZ AGUIRRE SLC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE A AGUIRRE MD (PRESIDENT)
(800) 405-0076
Entity
Organization
Contact information
Practice address
1050 E SOUTH TEMPLE, SALT LAKE CITY, UT 84102-1507
(801) 350-4111
Mailing address
111 W TELEGRAPH ST STE 200, CARSON CITY, NV 89703-4189
(800) 405-0076
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
—
—
Other
Enumeration date
03/05/2019
Last updated
03/05/2019
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