MEDICARE: REPRODUCTIVE CARE CENTER

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
1	174400000X	Specialist	952959151205	UT

General Provider Information

NPI Number	:	1639141252
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	REPRODUCTIVE CARE CENTER

Provider Business Mailing Address
First Line	:	1220 E 3900 S
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84124-1383
Country	:	US
Telephone Number	:	801-268-0306
Fax Number	:	801-268-6234

Provider Business Practice Location Address
First Line	:	1220 E 3900 S
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84124-1327
Country	:	US
Telephone Number	:	801-268-0306
Fax Number	:	801-268-6234

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	MRS. MICHELE RICHARDS
Credential	:
Telephone Number	:	801-268-0306

Provider Enumeration Date	:	02/07/2006
Last Update Date	:	08/22/2020

Similar Medicare Providers

1689671737 — MR. CHRIS LINDSEY PA-C
Practice Location Address:

1220 E 3900 S , # 4E
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84124-1327

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1336148063 — DR. RICHARD H SCHWARTZ MD
Practice Location Address:

1220 E 3900 S , STE 4-E
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1912909714 — MR. RYAN DENNIS CHURCH FNP-C
Practice Location Address:

1220 E 3900 S STE 1F
SALT LAKE CITY, UT
84124-1327

Practice Phone: 801-262-5711
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1649264763 — DR. GILBERT PODOLSKY M.D.
Practice Location Address:

1220 E 3900 S , SUITE 3F
SALT LAKE CITY, UT
84124-1327

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1588637730 — DR. SCOTT ALBERT LECKMAN M.D.
Practice Location Address:

1220 E 3900 S , #3G
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1487681102 — DR. BENJAMIN KIM M.D.
Practice Location Address:

1220 E 3900 S , 4F
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84124-1327

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Directions to “REPRODUCTIVE CARE CENTER ” Practice Location

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