Organization
UNIVERSITY OF UTAH HOSPITALS AND CLINICS
Active
Other names
UUHC Stansbury Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSAN A TERRY MD (MEDICAL DIRECTOR)
(801) 587-6307
Entity
Organization
Contact information
Practice address
220 MILLPOND, STE. 100, STANSBURY PARK, UT 84074-9745
(435) 843-3000
Mailing address
PO BOX 510708, SALT LAKE CITY, UT 84151-0708
(801) 587-6303
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
163W00000X
Registered Nurse
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
208000000X
Pediatrics Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
213E00000X
Podiatrist
—
—
225100000X
Physical Therapist
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
367A00000X
Advanced Practice Midwife
—
—
Other
Enumeration date
07/29/2008
Last updated
07/29/2008
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