Organization
PALLIATIVE SPECIALTY GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIN BENNETT (OWNER)
(801) 930-5266
Entity
Organization
Contact information
Practice address
1106 E 6600 S, MURRAY, UT 84121-2446
(801) 930-5266
(801) 930-5272
Mailing address
1106 E 6600 S, MURRAY, UT 84121-2446
(801) 930-5266
(801) 930-5272
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5096442-1205
UT
Other
Enumeration date
09/18/2015
Last updated
09/18/2015
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