Philip Fair

NPI #1093241747 in Salt Lake City, Utah

Provider Information

NPI Number: 1093241747
Entity Type: Individual
Name: Philip Fair
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Technician
Enumeration Date: May 2, 2017
Last Updated: May 2, 2017

Practice Location

Address: 501 S CHIPETA WAY
City: Salt Lake City
State: Utah
ZIP Code: 84108-1222
Phone: (801) 585-2500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician	374700000X	Primary

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