BERNHARD A FASSL

SALT LAKE CITY, UT
NPI1902985476
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208000000X Pediatrics
(Licence: UT  5198006-1205)
Enumeration Date2006-11-03
Last Update Date2007-07-08
Business Address
BERNHARD A FASSL
100 N MEDICAL DR
SALT LAKE CITY, UT 84113-1103
Phone number: 801-581-2121
Mailing Address
BERNHARD A FASSL
PO BOX 581100
SALT LAKE CITY, UT 84158-1100
Phone number: 801-213-3800
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