| Evertitan | |
|
56 E Broadway Ste 724 Salt Lake City UT 84111-2232 | |
| (385) 479-7575 | |
| (385) 479-7575 |
| Full Name | Evertitan |
|---|---|
| Speciality | Clinic/center |
| Location | 56 E Broadway Ste 724, Salt Lake City, Utah |
| Authorized Official Name and Position | David M Stettler (MANAGING MEMBER) |
| Authorized Official Contact | 3854797575 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Evertitan 56 E Broadway Ste 724 Salt Lake City UT 84111-2232 Ph: (385) 479-7575 | Evertitan 56 E Broadway Ste 724 Salt Lake City UT 84111-2232 Ph: (385) 479-7575 |
| NPI Number | 1104741099 |
|---|---|
| Provider Enumeration Date | 08/11/2026 |
| Last Update Date | 08/11/2026 |
| Certification Date | 08/11/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104741099 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Primary |
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