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Allergy and Immunology

Draper, Utah

Provider NPI: 1275535411

Provider Information:

Practice Location:
12422 S 450 E STE C DRAPER, UT 84020 US
Tel: 801-553-1900  Fax: --

Business Mailing Address:
Tel: --  Fax: --


PrimaryCodeCategory/DescriptionStateLicense Number
Allergy & Immunology

Other Provider Identifiers:

Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin

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