Organization
WARNER SUPPORT CENTER CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN W CARLSON (CEO)
(801) 616-9259
Entity
Organization
Contact information
Practice address
32 W 200 S, STE 423, SALT LAKE CITY, UT 84101-1603
(801) 616-9259
Mailing address
32 W 200 S, STE 423, SALT LAKE CITY, UT 84101-1603
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
53583271205
UT
Other
Enumeration date
09/24/2009
Last updated
09/27/2009
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