NPI 1114446168
Cancer Survivor Health Network, L.L.C.
Practice location
- Address
- 2486 East Emerson Avenue, Salt Lake City, UT 84108
- Phone
- (801) 754-6051
- Fax
- (801) 210-0476
- Mailing address
- 1338 S Foothill Dr # 333, Salt Lake City, UT 84108-2321
Authorised official
- Name
- George Willock
- Title
- Ceo
- Phone
- (801) 754-6051
Registered specialties (9)
Clinical Informatics Physician
Primary
Specialist
Health Educator
Case Management Agency
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary Care Clinic/Center
Oncology Clinic/Center
Oncology Clinical Nurse Specialist
Prevention Professional
Registry record
- NPI
- 1114446168
- Entity type
- Organization
- NPI issued
- 11 Sep 2017
- Record last updated
- 26 Mar 2025
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.