Organization · Type 2 NPI

Wasatch Vascular Center LLC

Vascular & Interventional Radiology Physician · Salt Lake City, UT

NPI number 1558905398 Active

Practice location

3702 S State St Ste 103
Salt Lake City, UT 84115-5096

Fax (801) 262-1533

Mailing address

40 Valley Stream Pkwy Ste 100
Malvern, PA 19355-1407

Other practice locations

  • 3702 S State St Ste 105, Salt Lake City, UT 84115-5096 · (801) 298-1300
  • 3702 S State St Ste 111, Salt Lake City, UT 84115-5078 · (801) 281-0027

Specialties and licenses

TaxonomyCodeLicense
Vascular & Interventional Radiology Physician Primary 2085R0204XNone listed

Vascular & Interventional Radiology Physician: A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.

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About NPI 1558905398

Wasatch Vascular Center LLC's National Provider Identifier is 1558905398, issued on Nov 5, 2019. The primary taxonomy on file is Vascular & Interventional Radiology Physician (2085R0204X), and the practice location is in Salt Lake City, UT. The record was last updated on Feb 10, 2023.