Slc Va Medical Center
NPI #1023306297 in Salt Lake City, Utah
Provider Information
- NPI Number
- 1023306297
- Entity Type
- Organization
- Organization Name
- Slc Va Medical Center
- Primary Specialty
- Special Hospital
- Enumeration Date
- Jul 21, 2011
- Last Updated
- Jul 21, 2011
Practice Location
- Address
- 500 FOOTHILL DRIVE
- City
- Salt Lake City
- State
- Utah
- ZIP Code
- 84148
- Phone
- (801) 582-1565
Authorized Official
- Name
- TRACY W DUSTIN, RN, MSN
- Title
- CASE MANAGER
- Phone
- (801) 582-1565
Specialties & Taxonomy Codes
| Specialty |
|---|
| Special Hospital |
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