NPI 1003069246

Ted R Schultz MD LLC

Organisation General Practice Physician Salt Lake City, UT

Practice location

Address: 866 Padley St, Salt Lake City, UT 84108-1414
Phone: (801) 202-4892
Mailing address: 555 E 4500 S C150, Salt Lake City, UT 84107-4533

Authorised official

Name: Ted R Schultz
Title: Owner
Phone: (801) 202-4892

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X Licence 348875-1205 (UT)

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Registry record

NPI: 1003069246
Entity type: Organization
NPI issued: 31 Oct 2008
Record last updated: 31 Oct 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.