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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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