GAMMA WEST BRACHYTHERAPY, LLC
Radiology at E, Salt Lake City, UT

License number
Utah 2054905-0160
Category
Radiology
Type
Radiation Oncology
Owner
Name: KATHERINE A WAHLSTROM
Title: HR DIRECTOR/ CREDENTIALING
Phone: (801) 359-8956
Address
Address
1050 E St SOUTH TEMPLE, Salt Lake City, UT 84102
National Provider ID: 1053451617
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about GAMMA WEST BRACHYTHERAPY, LLC at bizstanding.com

GAMMA WEST BRACHYTHERAPY, LLC

24 S 1100 E #306, Salt Lake City, UT 84102

Registration:
Oct 1, 1998
State ID:
2054905-0160
Business type:
LLC - Domestic
Agent:
John Parsons,111 E Broadway 11, Salt Lake City, UT 84111 (Physical)

Gamma West Brachytherapy, LLC

1250 E 3900 S, Salt Lake City, UT 84124

Industry:
Medical Doctor's Office, Nonclassifiable Establishments
Branch Manager:
John K. Hayes (Branch Manager)

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