OrganizationActive
Medicruiser Onsite Care
NPI 1710245402 · Geriatric Medicine (Family Medicine) Physician · Salt Lake City, UT
Provider details
- NPI number
- 1710245402
- Entity type
- Organization
- Primary specialty
- Geriatric Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Paul Gahlinger, Billing Manager(801) 484-5504
- License
- 97-339160-1205 (UT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
225 10th Ave
Salt Lake City, UT 84103-2529
Phone: (801) 484-5504
Fax: (801) 484-5538
Approximate (ZIP-level) locationGet directions
Mailing address
225 10th Ave
Salt Lake City, UT 84103-2529
Registry dates
- Enumerated
- 2012-05-01
- Last updated
- 2013-02-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.