NPI 1407536766

1 Source 211 Services

Organisation Public Health & General Preventive Medicine Physician Salt Lake City, UT

Practice location

Address: 955 E 200 S, Salt Lake City, UT 84102-2432
Phone: (702) 462-0067
Mailing address: PO Box 633, Salt Lake City, UT 84110-0633

Authorised official

Name: Taundria R Duncan
Title: Public Service Administrator
Phone: (702) 462-0067

Registered specialties

Public Health & General Preventive Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2083P0901X

Other Preventive Medicine providers in Utah →

Registry record

NPI: 1407536766
Entity type: Organization
NPI issued: 21 Jul 2023
Record last updated: 22 Jun 2024

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.