institution
Daniel B. Vine, Md, Pc
Community Health Clinic/Center in Salt Lake City, Utah
NPI 1699075895

Daniel B. Vine, Md, Pc is a Community Health Clinic/Center based in Salt Lake City, UT and is specialized in Community Health. Daniel B. Vine, Md, Pc practices in Salt Lake City, UT. The NPI Number for Daniel B. Vine, Md, Pc is 1699075895 and holds a License No. 171413-1205 (Utah).

The current practice location address for Daniel B. Vine, Md, Pc is 3980 S 700 E, Salt Lake City, UT and can be reached out via phone at 801-288-1115 and via fax at 801-288-1116.

Location: 3980 S 700 E, Salt Lake City, UT, 84107-2188
institution
Provider Profile Details
NPI Number
1699075895
Provider Name
Daniel B. Vine, Md, Pc
Credential
Provider Entity Type
Organization
Address
3980 S 700 E, Salt Lake City, UT, 84107-2188
Phone Number
801-288-1115
Fax Number
801-288-1116
Provider Enumeration Date
10/22/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
527270415025 05 UT
institution
Provider Business Practice Location Address Details
Address
3980 S 700 E
City
State
Zip
84107-2188
Phone Number
801-288-1115
Fax Number
801-288-1116
person
Provider Business Mailing Address Details
Address
3980 S 700 E
City
State
Zip
84107-2188
Phone Number
801-288-1115
Fax Number
801-288-1116
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Community Health
Taxonomy
License No.
171413-1205 (Utah)
Definition
Definition to come...
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