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1831146059
CHARLES D ELLER
SALT LAKE CITY, UT
NPI
1831146059
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: UT 5840151-1205)
Enumeration Date
2006-05-31
Last Update Date
2007-10-19
Business Address
-- CHARLES D ELLER MD
1200 E 3900 S
SALT LAKE CITY, UT 84124-1300
Phone number: 801-268-7975
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Mailing Address
-- CHARLES D ELLER MD
PO BOX 95970
SOUTH JORDAN, UT 84095-0970
Phone number: 801-352-9500
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