Organization
BARIATRIC MEDICINE INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL RHEAD COTTAM (OWNER/PROVIDER)
(855) 655-7389
Entity
Organization
Contact information
Practice address
1046 E. 100 S., SALT LAKE CITY, UT 84102
(801) 746-2885
(801) 746-2886
Mailing address
1046 E. 100 S., SALT LAKE CITY, UT 84102
(855) 655-7389
(801) 931-2044
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
6655906-1205
UT
Other
Enumeration date
12/20/2010
Last updated
01/10/2022
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