Organization
DIALYSIS PROGRAM PHYSICIANS UNIVERSITY OF UTAH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVEN L HEMMING (PROGRAM ADMINISTRATOR)
(801) 581-8573
Entity
Organization
Contact information
Practice address
515 E 100 S STE 350, SALT LAKE CITY, UT 84102-3766
(801) 581-8578
(801) 581-4750
Mailing address
PO BOX 841462, LOS ANGELES, CA 90084-1462
(801) 581-8578
(801) 581-4750
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CI6697
RR MEDICARE
UT
Enumeration date
09/16/2006
Last updated
04/08/2022
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