Organization
SURGICAL WEIGHT LOSS SPECIALISTS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL R COTTAM MD (OWNER/PROVIDER)
(855) 655-7389
Entity
Organization
Contact information
Practice address
1046 E 100 S, SALT LAKE CITY, UT 84102-1520
(855) 655-7389
(801) 931-2044
Mailing address
1046 E 100 S, SALT LAKE CITY, UT 84102-1520
(855) 655-7389
(801) 931-2044
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
05/16/2022
Last updated
10/25/2023
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