OrganizationActive
Wasatch Vascular Center LLC
NPI 1558905398 · Vascular & Interventional Radiology Physician · Salt Lake City, UT
Provider details
- NPI number
- 1558905398
- Entity type
- Organization
- Primary specialty
- Vascular & Interventional Radiology PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Gregg Miller, Authorized Official
Practice location
3702 S State St Ste 103
Salt Lake City, UT 84115-5096
Phone: (801) 281-0027
Fax: (801) 262-1533
Mailing address
40 Valley Stream Pkwy Ste 100
Malvern, PA 19355-1407
Registry dates
- Enumerated
- 2019-11-05
- Last updated
- 2023-02-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.