Organization
SALT LAKE INFECTIOUS DISEASE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JODY K MEZA (PRACTICE ADMINISTRATOR)
(801) 328-1260
Entity
Organization
Contact information
Practice address
1060 E 100 S, SUITE L10, SALT LAKE CITY, UT 84102-1501
(801) 328-1260
Mailing address
1060 E 100 S, SUITE L10, SALT LAKE CITY, UT 84102-1501
(801) 328-1260
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
—
—
Other
Enumeration date
03/30/2009
Last updated
03/30/2009
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