Organization · Type 2 NPI
Salt Lake City Vamc
VA Clinic/Center · South Jordan, UT
NPI number
1619113115
Active
Practice location
5119 West Daybreak Parkway
South Jordan, UT 84009-9998
Mailing address
PO Box 94463
Cleveland, OH 44101-4463
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| VA Clinic/Center Primary | 261QV0200X | None listed |
VA Clinic/Center: Definition to come...
About NPI 1619113115
Salt Lake City Vamc's National Provider Identifier is 1619113115, issued on Jan 5, 2009. The primary taxonomy on file is VA Clinic/Center (261QV0200X), and the practice location is in South Jordan, UT. The record was last updated on Jul 30, 2021.