NPI Provider: 1649277955
Contact Name: Bangerter R Dee
Position: President
Phone: (801) 397-4000
Vali Division Of Wasatch Information:
Vali Division Of Wasatch organization have npi 1649277955, taxonomy code is 251G00000X with license number is 1000605 in . This Business address located in 350 E 300 S, Bountiful, UT 84010 Utah.
Practice Location
Address: 5250 Commerce Dr, Salt Lake City, UT 84107
Phone: (801) 397-4900
Business Location
Address: 350 E 300 S, Bountiful, UT 84010
Phone: (801) 397-4100
Fax: (801) 397-4197
Taxonomy
Taxonomy Code: 251G00000X
License Number: 1000605
License Number of State: UT
Primary Taxonomy Switch: Y
Enumeration Date: 6/30/2005
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