PIONEER VALLEY HOSPITAL PHYSICIANS, INC (INTERNAL MEDICINE SPECIALISTS) - NPI NUMBER 1396782124
Provider Name: PIONEER VALLEY HOSPITAL PHYSICIANS, INC (INTERNAL MEDICINE SPECIALISTS)
NPI Number: 1396782124
Clasification: Internal Medicine (207R00000X)
2530 W 4700 S
SALT LAKE CITY, UT
Phone Number: (801) 967-5866
PIONEER VALLEY HOSPITAL PHYSICIANS, INC is an internist in Salt Lake City, UT. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. The assigned NPI number for this provider is 1396782124 and is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Internal Medicine Specialists.
The provider's business address is:
2530 W 4700 S
SALT LAKE CITY, UT
Phone: (801) 967-5866
Fax: (801) 969-9037
The provider's authorized official is Mandi J Mckay .
The authorized official title is Ceo and has the following contact phone number (801) 967-5866.
The enumeration date for this NPI number is 6/1/2006 and was last updated on 7/8/2007.
Map - Location of Practice
||HUGH M STONEBURNER
||BMT DIVISION DEPARTMENT OF UNIVERSITY OF UTAH
||HANADI M. FARRUKH, MD
||DR. LEECHUAN ANDY CHEN, M.D., PH.D.
||DR. ANDREW TZONG-YOW CHEN, D.O.
||RANDALL W. BURT, MD
Internal Medicine (Gastroenterology)
||KELLY LYNN KONOPA, MD
Internal Medicine (Hematology & Oncology)
The following information regarding the scope of practice of this provider is available:
||Entity Type Code
||Employer Identification Number EIN
||Provider Organization Name Legal Business Name
||PIONEER VALLEY HOSPITAL PHYSICIANS, INC
||Provider Other Organization Name
||INTERNAL MEDICINE SPECIALISTS
||Provider Other Organization Name Type Code
||Provider First Line Business Practice Location Address
||2530 W 4700 S
||Provider Second Line Business Practice Location Address
||Provider Business Practice Location Address City Name
||SALT LAKE CITY
||Provider Business Practice Location Address State Name
||Provider Business Practice Location Address Postal Code
||Provider Business Practice Location Address Country Code If outside U S
||Provider Business Practice Location Address Telephone Number
||Provider Business Practice Location Address Fax Number
||Provider Enumeration Date
||Last Update Date
||Authorized Official Last Name
||Authorized Official First Name
||Authorized Official Middle Name
||Authorized Official Title or Position
||Authorized Official Telephone Number
||Healthcare Provider Taxonomy Code 1
||Healthcare Provider Primary Taxonomy Switch 1
||Authorized Official Credential Text
||Healthcare Provider Taxonomy Group 1
||193400000X SINGLE SPECIALTY GROUP
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This page was last updated on: 2/11/2014
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