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Individual

SHELDON R FURST

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
100 MARIO CAPECCHI DR, PCMC DEPARTMENT OF ANESTHESIA, SALT LAKE CITY, UT 84113-1103
(801) 662-3578
Mailing address
100 MARIO CAPECCHI DR, PCMC DEPARTMENT OF ANESTHESIA, SALT LAKE CITY, UT 84113-1103
(801) 662-3578

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
272211-1205
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
002085744
FIRST HEALTH
UT
05
002966700
ID
01
107007177101
IHC
UT
05
109784900
WY
01
2000040
UNITED
UT
01
2805
HEALTHY U
UT
01
32752
PEHP
UT
05
401765
MT
01
416933
DESERET MUTUAL
UT
01
870280408FU1
EDUCATORS MUTUAL
UT
05
937055
AZ
01
PR01081
MOLINA
UT
01
QM0000049513
ALTIUS
UT
Enumeration date
08/24/2006
Last updated
10/04/2011
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