Sandman Physician Services PC

NPI #1760814834 in North Salt Lake, Utah

Provider Information

NPI Number: 1760814834
Entity Type: Organization
Organization Name: Sandman Physician Services PC
Primary Specialty: Anesthesiology
Enumeration Date: Jul 31, 2013
Last Updated: Jul 31, 2013

Practice Location

Address: 637 SEGO LILY CIR
City: North Salt Lake
State: Utah
ZIP Code: 84054-3355
Phone: (801) 209-7348

Authorized Official

Name: DR. RICHARD L GLINES, MD
Title: PRESIDENT
Phone: (801) 209-7348

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Anesthesiology - Hospice and Palliative Medicine — Hospice and Palliative Medicine	207LH0002X
Anesthesiology - Pain Medicine — Pain Medicine	207LP2900X
Anesthesiology	207L00000X	Primary

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