NPI 1003114570

Tim T McDonald

Practitioner Community Health Worker Salt Lake City, UT

Practice location

Address: 5965 S 900 E, Salt Lake City, UT 84121-1720
Phone: (801) 743-6150

Registered specialties

Community Health Worker Primary

Other Service Providers Taxonomy 172V00000X

Other Community Health Worker providers in Utah →

Registry record

NPI: 1003114570
Entity type: Individual
Sex (as registered): Male
NPI issued: 8 Mar 2011
Record last updated: 8 Mar 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.