| NPI | 1265135149 |
|---|---|
| Other Name | INTERNAL MEDICINE SALT LAKE CITY |
| Other Name | SENIOR CARE SALT LAKE CITY |
| Doing Business As | SRSL SENIOR CARE SLC |
| Other Name | PRIMARY CARE SALT LAKE |
| Entity Type | Organization |
| Authorized Contact | ANGELA J SKINNER Administrator, Oma 303-673-7175 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine |
| Enumeration Date | 2023-03-22 |
| Last Update Date | 2025-02-17 |