Salt Lake City Vamc
NPI #1619113115 in South Jordan, Utah
Provider Information
- NPI Number
- 1619113115
- Entity Type
- Organization
- Organization Name
- Salt Lake City Vamc
- Primary Specialty
- Clinic/Center - VA
- Enumeration Date
- Jan 5, 2009
- Last Updated
- Jul 30, 2021
Practice Location
- Address
- 5119 WEST DAYBREAK PARKWAY
- City
- South Jordan
- State
- Utah
- ZIP Code
- 84009-9998
- Phone
- (913) 578-4409
Authorized Official
- Name
- ERIN POTTER
- Title
- NPI TEAM MEMBER
- Phone
- (202) 382-2579
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - VA — VA |
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