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Contact Information

UTAH GASTROENTEROLOGY LLC
1187 E 3900 S
SALT LAKE CITY, UT84124-1201
 Phone: 801-263-3041
 Fax: 801-263-8485
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gastroenterology

207RG0100X 10 Physician/Gastroenterology
Indicates primary specialty

NPI Profile & details for UTAH GASTROENTEROLOGY LLC

NPI Number 1871689562
LBN Legal business name UTAH GASTROENTEROLOGY LLC
Authorized official CHRISTINE MORRIS - (CORPORATE ADMINISTRATOR)
Entity Organization
Organization subpart 1 Yes
Enumeration date 10/04/2006
Last updated 07/22/2021 - About 5 years ago
Identifiers
UT Medicaid 1026423
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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