Individual
DR. VAN O. AUSTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9500 EAST LITTLE COTTONWOOD CANYON ROAD, BOX 920013, SNOWBIRD, UT 84092-0013
(801) 891-4887
Mailing address
9500 EAST LITTLE COTTONWOOD CANYON ROAD, BOX 920013, SNOWBIRD, UT 84092-0013
Taxonomy
Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
Primary
15943-1205
UT
Other
Enumeration date
05/07/2008
Last updated
05/07/2008
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