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Individual

DR. SLADE SIMMONS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
AUD

Contact information

Practice address
500 FOOTHILL DRIVE (126), SALT LAKE CITY, UT 84148-0001
(801) 584-1285
Mailing address
1238 E 3545 S, SALT LAKE CITY, UT 84106-2437
(801) 203-0392

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
285232-4101
UT

Other

Enumeration date
03/09/2007
Last updated
03/08/2012
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