institution
Susan Imhoff Bird
Clinic/Center in Salt Lake City, Utah
NPI 1750890935

Susan Imhoff Bird is a Clinic/Center based in Salt Lake City, UT. Susan Imhoff Bird practices in Salt Lake City, UT. The NPI Number for Susan Imhoff Bird is 1750890935 and holds a License No. 288938-3501 (Utah).

The current practice location address for Susan Imhoff Bird is 4505 S Wasatch Blvd Ste 320, Salt Lake City, UT and can be reached out via phone at 801-541-5205 and via fax at 801-541-5205.

Location: 4505 S Wasatch Blvd Ste 320, Salt Lake City, UT, 84108-2716
institution
Provider Profile Details
NPI Number
1750890935
Provider Name
Susan Imhoff Bird
Credential
Provider Entity Type
Organization
Address
4505 S Wasatch Blvd Ste 320, Salt Lake City, UT, 84108-2716
Phone Number
801-541-5205
Fax Number
801-541-5205
Provider Enumeration Date
09/20/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4505 S Wasatch Blvd Ste 320
City
State
Zip
84124-4755
Phone Number
801-541-5205
Fax Number
801-541-5205
person
Provider Business Mailing Address Details
Address
4505 S Wasatch Blvd Ste 320
City
State
Zip
84124-4755
Phone Number
801-541-5205
Fax Number
801-541-5205
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
License No.
288938-3501 (Utah)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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