institution
Physician Medical Group
Vascular & Interventional Radiology Physician in Salt Lake City, Utah
NPI 1972078723

Physician Medical Group is a Vascular & Interventional Radiology Physician based in Salt Lake City, UT and is specialized in Vascular & Interventional Radiology. Physician Medical Group practices in Salt Lake City, UT. The NPI Number for Physician Medical Group is 1972078723 and holds a License No. (Utah).

The current practice location address for Physician Medical Group is 4624 S Holladay Blvd Ste 202, Salt Lake City, UT and can be reached out via phone at 385-800-5015 and via fax at 801-277-6678.

Location: 4624 S Holladay Blvd Ste 202, Salt Lake City, UT, 84117-7168
institution
Provider Profile Details
NPI Number
1972078723
Provider Name
Physician Medical Group
Credential
Provider Entity Type
Organization
Address
4624 S Holladay Blvd Ste 202, Salt Lake City, UT, 84117-7168
Phone Number
385-800-5015
Fax Number
801-277-6678
Provider Enumeration Date
10/08/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1740543834 01 UT INDIVIDUAL NPI
1619935053 01 UT INDIVIDUAL NPI
1184807208 01 UT INDIVIDUAL NPI
1356897821 01 UT INDIVIDUAL NPI
1861622219 01 UT INDIVIDUAL NPI
1972078723 01 UT GROUP NPI
institution
Provider Business Practice Location Address Details
Address
4624 S Holladay Blvd Ste 202
City
State
Zip
84117-7168
Phone Number
385-800-5015
Fax Number
801-277-6678
person
Provider Business Mailing Address Details
Address
4624 S Holladay Blvd Ste 202
City
State
Zip
84117-7168
Phone Number
385-800-5015
Fax Number
801-277-6678
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Vascular & Interventional Radiology
Taxonomy
License No.
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Definition
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
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