Organization · Type 2 NPI
Us Sports Medicine, LLC
Diagnostic Radiology Physician · Salt Lake City, UT
NPI number
1487296505
Active
Practice location
1178 E Brickyard Rd
Salt Lake City, UT 84106-2555
Fax (801) 563-0335
Mailing address
PO Box 741804
Los Angeles, CA 90074-1804
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Diagnostic Radiology Physician Primary | 2085R0202X | None listed |
| Radiology Clinic/Center | 261QR0200X | None listed |
Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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About NPI 1487296505
Us Sports Medicine, LLC's National Provider Identifier is 1487296505, issued on Oct 9, 2019. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Salt Lake City, UT. The record was last updated on Aug 11, 2021.