Whalio Doctors

NPI 1023306297

Slc VA Medical Center

Organisation Special Hospital Salt Lake City, UT

Practice location

Address
500 Foothill Drive, Salt Lake City, UT 84148
Phone
(801) 582-1565
Mailing address
500 Foothill Dr, Salt Lake City, UT 84148-0001

Authorised official

Name
Tracy W Dustin
Title
Case Manager
Phone
(801) 582-1565

Registered specialties

Special Hospital Primary
Hospitals Taxonomy 284300000X Licence 184759-3102 (UT)

Registry record

NPI
1023306297
Entity type
Organization
NPI issued
21 Jul 2011
Record last updated
21 Jul 2011

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.