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“Pediatric Sports Medicine Physician” (Salt Lake City, UT)

Location: Salt Lake City, UT
Taxonomy: Pediatric Sports Medicine 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.
1225076359 — MARK FREDERICK RIEDERER MD
Practice Location Address:
590 WAKARA WAY
SALT LAKE CITY UT
84108
Practice Phone: 801-587-7109
1710024005 — AARON PROVANCE MD
Practice Location Address:
590 S WAKARA WAY
SALT LAKE CITY UT
84108-7106
Practice Phone: 801-587-7109

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