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NPI Code Detail

MEDICARE: PATRICK J SWEENEY MD

MEDICARE: PATRICK J SWEENEY MD
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
1207PE0004XEmergency Medical Services (Emergency Medicine) Physician164370-1205UT

General Provider Information

NPI Number : 1205860251
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATRICK J SWEENEY MD
Provider Business Mailing Address
First Line : PO BOX 30180
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84130-0180
Country : US
Telephone Number : 801-269-2696
Fax Number : 801-269-2690
Provider Business Practice Location Address
First Line : 9660 S 1300 E
Second Line :
City : SANDY
State : UT
Zip : 84094-3762
Country : US
Telephone Number : 801-269-2696
Fax Number : 801-269-2690
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/10/2006
Last Update Date : 07/08/2007

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