Wasatch Geriatrics PC
NPI #1619993276 in Salt Lake City, Utah
Provider Information
- NPI Number
- 1619993276
- Entity Type
- Organization
- Organization Name
- Wasatch Geriatrics PC
- Primary Specialty
- Internal Medicine - Geriatric Medicine
- Enumeration Date
- Jul 15, 2006
- Last Updated
- Jan 28, 2013
Practice Location
- Address
- 1414 E 4500 S
- Address 2
- #1
- City
- Salt Lake City
- State
- Utah
- ZIP Code
- 84117-4228
- Phone
- (801) 272-0255
Authorized Official
- Name
- CHARLES STEVEN FEHLAUER, MD
- Title
- OWNER
- Phone
- (888) 700-6907
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine - Geriatric Medicine — Geriatric Medicine |
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