Vali Division Of Wasatch

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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