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Salt Lake City Vamc
VA Clinic/Center in North Logan, Utah
NPI 1659980316

Salt Lake City Vamc is a VA Clinic/Center based in Cleveland, UT and is specialized in VA. Salt Lake City Vamc practices in North Logan, UT. The NPI Number for Salt Lake City Vamc is 1659980316 and holds a License No. (Utah).

The current practice location address for Salt Lake City Vamc is 2380 N 400 E Ste G, North Logan, UT and can be reached out via phone at 913-578-4409 and via fax at 913-578-4536.

Location: 2380 N 400 E Ste G, North Logan, UT, 44101-4463
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1659980316
Provider Name
Salt Lake City Vamc
Credential
Provider Entity Type
Organization
Address
2380 N 400 E Ste G, North Logan, UT, 44101-4463
Phone Number
913-578-4409
Fax Number
913-578-4536
Provider Enumeration Date
07/29/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2380 N 400 E Ste G
City
North Logan
State
Utah
Zip
84341-1769
Phone Number
913-578-4409
Fax Number
913-578-4536
person
Provider Business Mailing Address Details
Address
2380 N 400 E Ste G
City
North Logan
State
Utah
Zip
84341-1769
Phone Number
913-578-4409
Fax Number
913-578-4536
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
VA
Taxonomy
261QV0200X
License No.
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Definition
Definition to come...
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