Organization
MEDICRUISER ONSITE CARE
Active
Organization
MEDICRUISER ONSITE CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL GAHLINGER (BILLING MANAGER)
(801) 484-5504
Entity
Organization
Contact information
Practice address
225 10TH AVE, SALT LAKE CITY, UT 84103-2529
(801) 484-5504
(801) 484-5538
Mailing address
225 10TH AVE, SALT LAKE CITY, UT 84103-2529
(801) 484-5504
(801) 484-5538
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
97-339160-1205
UT
Other
Enumeration date
05/01/2012
Last updated
02/28/2013
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