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NPI 1407536766 · Public Health & General Preventive Medicine Physician · Salt Lake City, UT
Provider details
- NPI number
- 1407536766
- Entity type
- Organization
- Primary specialty
- Public Health & General Preventive Medicine PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Taundria Duncan, Public Service Administrator
Mailing address
Po Box 633
Salt Lake City, UT 84110-0633
Registry dates
- Enumerated
- 2023-07-21
- Last updated
- 2024-06-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.