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NPI Code Detail

MEDICARE: UTL SOLUTIONS, INC.

MEDICARE: UTL SOLUTIONS, INC.
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
1208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1162213-1205OTHERUTLICANCE

General Provider Information

NPI Number : 1407145535
Entity Type Code : Organization
Provider Name (Legal Business Name) : UTL SOLUTIONS, INC.
Provider Business Mailing Address
First Line : 369 E 900 S
Second Line : SUITE 279
City : SALT LAKE CITY
State : UT
Zip : 84111-4331
Country : US
Telephone Number : 801-259-3696
Fax Number : 801-618-1573
Provider Business Practice Location Address
First Line : 369 E 900 S
Second Line : SUITE 279
City : SALT LAKE CITY
State : UT
Zip : 84111-4331
Country : US
Telephone Number : 801-259-3696
Fax Number : 801-618-1573
Authorized Official
Title or Position : CEO/ PRESIDENT
Name : DR. MICHAEL P COLLINS
Credential : M.D.
Telephone Number : 801-259-3696
Provider Enumeration Date : 03/29/2011
Last Update Date : 03/29/2011

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