Organization
MILAN DJURICH DO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHERYL GEHRKE (OFFICE MANAGER)
(801) 565-6600
Entity
Organization
Contact information
Practice address
8074 S 1300 E, SANDY, UT 84094-0743
(801) 565-6600
(801) 565-6774
Mailing address
PO BOX 307, BOUNTIFUL, UT 84011-0307
(888) 700-6907
(801) 294-6917
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
104671-1204
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19544433702001
BLUE CROSS BLUE SHIELD
UT
Enumeration date
05/16/2007
Last updated
08/22/2020
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