OrganizationActive
Cancer Survivor Health Network, L.L.C.
NPI 1114446168 · Clinical Informatics Physician · Salt Lake City, UT
Provider details
- NPI number
- 1114446168
- Entity type
- Organization
- Primary specialty
- Clinical Informatics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- George Willock, Ceo(801) 754-6051
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Specialist174400000X
Other Service Providers
- Health Educator174H00000X
Other Service Providers
- Case Management Agency251B00000X
Agencies
Ambulatory Health Care Facilities
- Primary Care Clinic/Center261QP2300X
Ambulatory Health Care Facilities
- Oncology Clinic/Center261QX0200X
Ambulatory Health Care Facilities
Practice location
2486 East Emerson Avenue
Salt Lake City, UT 84108
Phone: (801) 754-6051
Fax: (801) 210-0476
Approximate (ZIP-level) locationGet directions
Mailing address
1338 S Foothill Dr # 333
Salt Lake City, UT 84108-2321
Other names (DBA / former)
- Doing business as
- Survivor Healthcare
Registry dates
- Enumerated
- 2017-09-11
- Last updated
- 2025-03-26
- Certified
- 2025-03-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.