U-U GASTROENTEROLOGY DIVISION

SALT LAKE CITY, UT
NPI1558394775
Entity TypeOrganization
Authorized ContactJANELL I MADONNA
Director Of Contracting And Pe
801-587-6464
Organization Subpart ?No
Primary Taxonomy207R00000X Internal Medicine
Additional Taxonomies207RG0100X Internal Medicine, Gastroenterology
363A00000X Physician Assistant
363AM0700X Physician Assistant, Medical
363L00000X Nurse Practitioner
363LA2200X Nurse Practitioner, Adult Health
Enumeration Date2006-07-09
Last Update Date2009-04-14
Business Address
U-U GASTROENTEROLOGY DIVISION
50 N MEDICAL DR
SALT LAKE CITY, UT 84132-0001
Phone number: 801-581-7606
Mailing Address
U-U GASTROENTEROLOGY DIVISION
PO BOX 413033
SALT LAKE CITY, UT 84141-0001
Phone number: 801-213-3800