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Dr. Philip Luke Baese, MD
Neurodevelopmental Disabilities Physician Physician in Salt Lake City, Utah
NPI 1184669848

Philip Luke Baese is a Neurodevelopmental Disabilities Physician Physician based in Salt Lake City, UT and is specialized in Neurodevelopmental Disabilities. Philip Luke Baese practices in Salt Lake City, UT and has the professional credentials of MD. The NPI Number for Philip Luke Baese is 1184669848 and holds a License No. 363340-1205 (Utah).

The current practice location address for Philip Luke Baese is 650 Komas Dr, Salt Lake City, UT and can be reached out via phone at 801-581-5515. You can also correspond with Philip Luke Baese through the mailing address at 501 CHIPETA WAY, SALT LAKE CITY, UT - 84108-1222 (mailing address contact number: 801-587-3102).

Location: 650 Komas Dr, Salt Lake City, UT, 84108-1222
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Provider Profile Details
NPI Number
1184669848
Provider Name
Philip Luke Baese
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
650 Komas Dr, Salt Lake City, UT, 84108-1222
Phone Number
801-581-5515
Fax Number
Provider Enumeration Date
06/18/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
650 Komas Dr
City
State
Zip
84108-1229
Phone Number
801-581-5515
Fax Number
person
Provider Business Mailing Address Details
Address
501 Chipeta Way
City
State
Zip
84108-1222
Phone Number
801-587-3102
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Neurodevelopmental Disabilities
Taxonomy
License No.
363340-1205 (Utah)
Definition
A pediatrician or neurologist who specializes in the diagnosis and management of chronic conditions that affect the developing and mature nervous system such as cerebral palsy, mental retardation and chronic behavioral syndromes, or neurologic conditions.

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