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Organization

EMERE UTAH, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ALAN COTTLE (CEO)
(801) 617-2100
Entity
Organization

Contact information

Practice address
5296 S COMMERCE DR, SUITE 104, MURRAY, UT 84107-4767
(385) 474-8888
(801) 590-8123
Mailing address
PO BOX 1468, BOUNTIFUL, UT 84011-1468
(801) 296-2113
(801) 296-1715

Taxonomy

Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1770905705
UT
Enumeration date
01/10/2014
Last updated
10/07/2014
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