Organization · Type 2 NPI

Susan Imhoff Bird

Clinic/Center · Salt Lake City, UT

NPI number 1750890935 Active

Practice location

4505 S Wasatch Blvd Ste 320
Salt Lake City, UT 84124-4755

Call (801) 541-5205 Map

Fax (801) 541-5205

Mailing address

2185 E 1700 S
Salt Lake City, UT 84108-2716

Specialties and licenses

TaxonomyCodeLicense
Clinic/Center Primary 261Q00000X288938-3501 (UT)

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

4 other providers at this address

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About NPI 1750890935

Susan Imhoff Bird's National Provider Identifier is 1750890935, issued on Sep 20, 2017. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Salt Lake City, UT. The record was last updated on Sep 20, 2017.