GENESIS VASCULAR OF SALT LAKE
Internal Medicine - Interventional Cardiology
Active
Organization
NPI: 1104361591
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Radiology - Vascular & Interventional Radiology | 2085R0204X | No | - |
| Surgery - Vascular Surgery | 2086S0129X | No | - |
| Internal Medicine - Interventional Cardiology | 207RI0011X | Yes | - |
Frequently Asked Questions
NPI 1104361591 is the National Provider Identifier for GENESIS VASCULAR OF SALT LAKE, a Internal Medicine - Interventional Cardiology provider located in Salt Lake City, UT. This NPI was enumerated on December 21, 2016.
Quick Facts
- NPI
- 1104361591
- Type
- Organization
- Enumerated
- Dec 21, 2016
- Last Updated
- Oct 7, 2020
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DAYWEST HEALTHCARE SERVICES
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MR. BRENT JACKSON
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MARIA-ANN BROWN
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DR. FAWAD TANVIR, MD
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