Individual
DR. PHIL STEPHEN HAGGERTY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
461 E 200 S, SUITE 100, SALT LAKE CITY, UT 84111-2102
(801) 949-8312
(801) 553-9562
Mailing address
461 E 200 S, SUITE 100, SALT LAKE CITY, UT 84111-2102
(801) 949-8312
(801) 553-9562
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5426482-1204
UT
Other
Enumeration date
08/12/2005
Last updated
07/08/2007
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