INTERMOUNTAIN PEDIATRIC DIALYSIS
Ambulatory Health at Medical Dr, Salt Lake City, UT

License number
Utah 2006-HOSP-208
Category
Ambulatory Health
Type
End-Stage Renal Disease (ESRD) Treatment
Owner
Name: MR. STEVEN L HEMMING
Title: PROGRAM ADMINISTRATOR
Phone: (801) 581-8573
Address
Address
50 N Medical Dr, Salt Lake City, UT 84132
National Provider ID: 1235238379
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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