NPI 1184657629 · live from the CMS NPI Registry
Departmentn Of Veterans Affairs Medical Center
Audiologist in Salt Lake City, UT. National Provider Identifier 1184657629, active.
NPI record
| NPI | 1184657629 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Audiologist 231H00000X |
| Practice location | 500 Foothill Blvd, Salt Lake City, UT 84148 |
| Practice phone | 801-584-1242 |
| Mailing address | 1348 Laird Ave, Salt Lake City, UT 84105 |
| Enumerated | July 8, 2006 |
| Last updated | June 23, 2008 |
| Authorized official | Linda Edlefsen, Audiologist |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Audiologist primary | 231H00000X | 5877740-4101 (UT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.