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NPI Code Detail

MEDICARE: UNIVERSITY HEALTH CARE QUICK CLINIC

MEDICARE: UNIVERSITY HEALTH CARE QUICK CLINIC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician
2363A00000XPhysician Assistant

General Provider Information

NPI Number : 1376645671
Entity Type Code : Organization
Provider Name (Legal Business Name) : UNIVERSITY HEALTH CARE QUICK CLINIC
Provider Business Mailing Address
First Line : PO BOX 510721
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84151-0721
Country : US
Telephone Number : 801-581-6600
Fax Number :
Provider Business Practice Location Address
First Line : 3981 SOUTH WASATCH BLVD
Second Line :
City : HOLLADAY
State : UT
Zip : 84124-2247
Country : US
Telephone Number : 801-213-9500
Fax Number :
Authorized Official
Title or Position : MEDICAL DIRECTOR
Name : DR. SUSAN A TERRY
Credential : MD
Telephone Number : 801-587-6833
Provider Enumeration Date : 09/05/2006
Last Update Date : 09/11/2025

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Directions to “UNIVERSITY HEALTH CARE QUICK CLINIC ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.