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1346294717
MICHAEL JASON PENROD
SALT LAKE CITY, UT
NPI
1346294717
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: UT 5755109-1205)
Enumeration Date
2006-05-20
Last Update Date
2021-11-11
Business Address
Dr. MICHAEL JASON PENROD M.D.
50 N MEDICAL DR
SALT LAKE CITY, UT 84132-0001
Phone number: 801-581-2121
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Mailing Address
Dr. MICHAEL JASON PENROD M.D.
PO BOX 581700
SALT LAKE CITY, UT 84158-1700
Phone number: 801-581-2121
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