Organization
UTAH HEART CLINIC. LC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES LEE BURKE M.D. (M.D./PARTNER)
(801) 507-3500
Entity
Organization
Contact information
Practice address
5169 S COTTONWOOD, BUILDING B SUITE 510, MURRAY, UT 84107-5701
(801) 507-3500
(801) 507-3550
Mailing address
5169 S COTTONWOOD, BUILDING B SUITE 510, MURRAY, UT 84107-5701
(801) 507-3500
(801) 507-3550
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
19800341
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CQ2137
RR MEDICARE
—
Enumeration date
09/14/2006
Last updated
04/20/2008
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