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Individual

SEAN DAMIAN SLACK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O

Contact information

Practice address
DIVISION OF EMERGENCY MEDICINE SCHOOL OF, 30 N 1900 E 1C026, SALT LAKE CITY, UT 84132-0001
(801) 581-2730
(801) 585-0603
Mailing address
PO BOX 571117, MURRAY, UT 84157-1117
(801) 507-9700
(801) 585-0603

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
10104232-1204
UT
207P00000X
Emergency Medicine Physician
CS65216
ID
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
03/30/2015
Last updated
02/11/2025
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