PHILIP LUKE BAESE

SALT LAKE CITY, UT
NPI1184669848
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2084P0005X Psychiatry & Neurology, Neurodevelopmental Disabilities
(Licence: UT  363340-1205)
Enumeration Date2006-06-18
Last Update Date2021-10-16
Business Address
Dr. PHILIP LUKE BAESE M.D.
650 KOMAS DR 200
SALT LAKE CITY, UT 84108-1229
Phone number: 801-581-5515
Mailing Address
Dr. PHILIP LUKE BAESE M.D.
501 CHIPETA WAY
SALT LAKE CITY, UT 84108-1222
Phone number: 801-587-3102
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