Physician Home Care of Utah,l.c.

NPI #1326148073 in Salt Lake City, Utah

Provider Information

NPI Number
1326148073
Entity Type
Organization
Organization Name
Physician Home Care of Utah,l.c.
Primary Specialty
Family Medicine - Geriatric Medicine
Enumeration Date
Sep 23, 2006
Last Updated
Oct 19, 2007

Practice Location

Address
6886 HOLLOW MILL DR
State
Utah
ZIP Code
84121-3322
Phone
(801) 944-0095

Authorized Official

Name
DR. JOHN R DIETLEIN, M.D.
Title
MEDICAL DIRECTOR
Phone
(801) 944-0095

Specialties & Taxonomy Codes

Specialty
Family Medicine - Geriatric MedicineGeriatric Medicine

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