OrganizationActive
Santibanez Pac Utah
NPI 1881469484 · Geriatric Medicine (Internal Medicine) Physician · Salt Lake City, UT
Provider details
- NPI number
- 1881469484
- Entity type
- Organization
- Primary specialty
- Geriatric Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Julie Roser, Vp of Operations(775) 222-0045
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Physician Assistant363A00000X
Physician Assistants & Advanced Practice Nursing Providers
- Nurse Practitioner363L00000X
Physician Assistants & Advanced Practice Nursing Providers
Practice location
451 E Bishop Federal Ln
Salt Lake City, UT 84115-2357
Phone: (801) 487-7557
Approximate (ZIP-level) locationGet directions
Mailing address
10775 Double R Blvd
Reno, NV 89521-8956
Registry dates
- Enumerated
- 2023-11-24
- Last updated
- 2023-11-24
- Certified
- 2023-11-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.