Organization Name: | UNIVERSITY OF UTAH ADULT SERVICES |
NPI Number: | 1104204361 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SEAN MULVIHILL (CHIEF MEDICAL OFFICER) |
Mailing Address: | 1200 College Dr Rock Springs |
State: | WY US |
Postal Code: | 829015868 |
Phone Number: | 8015812121 |
Fax Number: | |
NPI Enumeration Date: | 05/08/2015 |
NPI Last Update Date: | 05/08/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2086S0129X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Surgery |
Taxonomy Specialization: | Vascular Surgery |
Taxonomy Definition: | A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |