NPI 1053084434
Assauge
Practice location
- Address
- 1537 S Main St, Salt Lake City, UT 84115-5315
- Phone
- (435) 720-8338
Authorised official
- Name
- Peter Conder
- Title
- Owner
- Phone
- (435) 720-8338
Registered specialties
Community/Behavioral Health Agency
Primary
Registry record
- NPI
- 1053084434
- Entity type
- Organization
- NPI issued
- 30 Jul 2021
- Record last updated
- 30 Jul 2021
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.