Organization · Type 2 NPI

Caresource

Hospice and Palliative Medicine (Family Medicine) Physician · Salt Lake City, UT

NPI number 1124242128 Active

Practice location

1624 E 4500 S
Salt Lake City, UT 84117-4212

Fax (801) 266-7004

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician 207Q00000X5221090-1205 (UT)
Hospice and Palliative Medicine (Family Medicine) Physician Primary 207QH0002X5221090-1205 (UT)

Hospice and Palliative Medicine (Family Medicine) Physician: A family medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying proces…

6 other providers at this address

About NPI 1124242128

Caresource's National Provider Identifier is 1124242128, issued on Apr 12, 2007. The primary taxonomy on file is Hospice and Palliative Medicine (Family Medicine) Physician (207QH0002X), and the practice location is in Salt Lake City, UT. The record was last updated on Sep 11, 2025.