OrganizationActive
Wasatch Geriatrics PC
NPI 1619993276 · Geriatric Medicine (Internal Medicine) Physician · Salt Lake City, UT
Provider details
- NPI number
- 1619993276
- Entity type
- Organization
- Primary specialty
- Geriatric Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Charles Fehlauer, Owner(801) 824-2748
- License
- 294016-2401 (UT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1414 E 4500 S
#1
Salt Lake City, UT 84117-4228
Phone: (801) 272-0255
Fax: (801) 947-0840
Approximate (ZIP-level) locationGet directions
Mailing address
2773 E Etienne Way
Sandy, UT 84093-1116
Registry dates
- Enumerated
- 2006-07-15
- Last updated
- 2026-04-22
- Certified
- 2026-04-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.