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NPI Code Detail

MEDICARE: UTAH IMAGING ASSOCIATES

MEDICARE: UTAH IMAGING ASSOCIATES
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
1207X00000XOrthopaedic Surgery Physician2005180UT

General Provider Information

NPI Number : 1740281526
Entity Type Code : Organization
Provider Name (Legal Business Name) : UTAH IMAGING ASSOCIATES
Provider Business Mailing Address
First Line : PO BOX 25488
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84125-0488
Country : US
Telephone Number : 801-296-2113
Fax Number : 801-296-1715
Provider Business Practice Location Address
First Line : 1200 E 3900 S
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84124-1300
Country : US
Telephone Number : 801-268-7111
Fax Number :
Authorized Official
Title or Position : CEO
Name : HEATHER MCFADDEN
Credential :
Telephone Number : 801-298-1300
Provider Enumeration Date : 08/03/2005
Last Update Date : 01/06/2020

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Directions to “UTAH IMAGING ASSOCIATES ” Practice Location

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