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NPI Code Detail

MEDICARE: ALSATIA ROSEMARY DURFEY

MEDICARE:   ALSATIA ROSEMARY DURFEY
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
1106S00000XBehavior TechnicianUT

General Provider Information

NPI Number : 1588260020
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALSATIA ROSEMARY DURFEY
Provider Business Mailing Address
First Line : 1355 E MILLSTREAM LN
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84106-2921
Country : US
Telephone Number : 801-231-9578
Fax Number :
Provider Business Practice Location Address
First Line : 1441 E FORT UNION BLVD
Second Line :
City : COTTONWOOD HEIGHTS
State : UT
Zip : 84121-2847
Country : US
Telephone Number : 385-695-2202
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/09/2020
Last Update Date : 12/09/2020

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Directions to “ ALSATIA ROSEMARY DURFEY ” Practice Location

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