Russell Terry

NPI #1952989089 in Slc, Utah

Provider Information

NPI Number: 1952989089
Entity Type: Individual
Name: Russell Terry
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Case Manager/Care Coordinator
Enumeration Date: Mar 30, 2021
Last Updated: Mar 30, 2021

Practice Location

Address: 344 E 100 S STE 301
City: Slc
State: Utah
ZIP Code: 84111-1727
Phone: (801) 428-4257

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Manager/Care Coordinator	171M00000X	Primary

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