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1912004466
ELWOOD N LONGENECKER
SALT LAKE CITY, UT
NPI
1912004466
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: UT 30831491205)
Enumeration Date
2006-09-19
Last Update Date
2007-10-20
Business Address
ELWOOD N LONGENECKER MD
2000 SOUTH 900 EAST
SALT LAKE CITY, UT 84105
Phone number: 801-464-7777
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Mailing Address
ELWOOD N LONGENECKER MD
PO BOX 27128
SALT LAKE CITY, UT 84127-0128
Phone number: 801-233-4400
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