MEDICRUISER ONSITE CARE
Osteopathic Medicine at 10 Ave, Salt Lake City, UT

License number
Utah 97-339160-1205
Category
Osteopathic Medicine
Type
Geriatric Medicine
Owner
Name: PAUL GAHLINGER
Title: BILLING MANAGER
Phone: (801) 484-5504
Address
Address
225 10Th Ave, Salt Lake City, UT 84103
National Provider ID: 1710245402
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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MEDICRUISER ONSITE CARE, INC

Salt Lake City, UT

Status:
Inactive
Registration:
Mar 8, 2011
Inactive since:
May 9, 2014
Phone:
(801) 484-5504 (Phone)
Addresses:
225 10 Ave, Salt Lake City, UT 84115 (Physical)
227 E 10 Ave, Salt Lake City, UT 84103
State ID:
2011-000598244
Business type:
Profit Corporation - Domestic
Entity State:
WY
Expiration:
Perpetual

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