“General Practice Physician” (Hill Afb, UT)
Location: Hill Afb, UT
Taxonomy: General Practice Physician.
A provider can have more than one taxonomy code. It is critical to register all applicable
taxonomy codes with NPPES and to use the correct taxonomy code to represent the
specific specialty when filing claims. This will assist in more accurate and timely
processing of claims.
1821087420
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LARS
ULISSEY
Practice Location Address:
7321 11TH ST
BLDG 569
HILL AFB UT
84056-5012
Practice Phone:
801-777-4710