Unknown Individual – Internal Medicine Physician, NPI 1376545798
Internal Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
Christus Saint Joseph Villa Christus Marian Center, 451, Bishop Federal Lane, Liberty-Wells, Salt Lake City, Salt Lake County, Utah, 84115, United States
SALT LAKE CITY, UT 841152357
Phone: (801) 942-0616
Fax: (801) 942-6861
Type: Location
10487, Seven Springs Circle, Huntsman Plat A, Sandy, Salt Lake County, Utah, 84092, United States
SANDY, UT 840924549
Phone: (801) 942-0616
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 84115)
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