| Ldsh Cancer Clinic | |
|
370 9th Ave Salt Lake City UT 84103-2877 | |
| (801) 442-1400 | |
| Not Available |
| Full Name | Ldsh Cancer Clinic |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 370 9th Ave, Salt Lake City, Utah |
| Authorized Official Name and Position | Marci C Jones (AFFILIATION SUPERVISOR) |
| Authorized Official Contact | 8014421631 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ldsh Cancer Clinic Po Box 27128 Salt Lake City UT 84127-0128 Ph: (801) 442-1400 | Ldsh Cancer Clinic 370 9th Ave Salt Lake City UT 84103-2877 Ph: (801) 442-1400 |
| NPI Number | 1003931833 |
|---|---|
| Provider Enumeration Date | 03/20/2007 |
| Last Update Date | 02/06/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003931833 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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