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Contact Information

UTAH CANCER SPECIALISTS PC
3838 S 700 E
STE 100
SALT LAKE CITY, UT84106-1466
 Phone: 801-270-2253
 Fax: 801-267-5608
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Non-Pharmacy Dispensing Site

332900000X 87 All Other Suppliers
 

Hematology & Oncology

207RH0003X 11 Physician/Internal Medicine
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Physician Assistant

363A00000X 97 Physician Assistant
 

Radiation Oncology

2085R0001X 92 Physician/Radiation Oncology
Indicates primary specialty

NPI Profile & details for UTAH CANCER SPECIALISTS PC

NPI Number 1912058942
LBN Legal business name UTAH CANCER SPECIALISTS PC
Authorized official WALTER MOYER - (CEO)
Entity Organization
Organization subpart 1 Yes
Enumeration date 01/16/2007
Last updated 11/24/2025 - About 6 months ago
Identifiers
UT License # 5153A
UT License # 62476691704
UT Other 4610728 NCPDP
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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