Intermountain Ear,nose, and Throat Specialists LLC
NPI #1487764411 in Salt Lake City, Utah
Provider Information
- NPI Number
- 1487764411
- Entity Type
- Organization
- Organization Name
- Intermountain Ear,nose, and Throat Specialists LLC
- Primary Specialty
- Clinic/Center - Medical Specialty
- Enumeration Date
- Aug 31, 2006
- Last Updated
- Apr 20, 2008
Practice Location
- Address
- 22 S 900 E
- City
- Salt Lake City
- State
- Utah
- ZIP Code
- 84102-1307
- Phone
- (801) 328-2522
Authorized Official
- Name
- EVON PEFAUR, CPC
- Title
- BILLING MANAGER
- Phone
- (801) 328-2522
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Medical Specialty — Medical Specialty |
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