JEREMIAH ANDREW ALT

UNIVERSITY OF UTAH ADULT SERVICES

Dr JEREMIAH ANDREW ALT is a male medical professional, specializing in Otolaryngology. He graduated in 2003 from Wayne State University School Of Medicine.

Contact

UNIVERSITY OF UTAH ADULT SERVICES

50 N MEDICAL DR
SALT LAKE CITY
UT
841320100

Tel: 8015814333

JEREMIAH ANDREW ALT Information

Npi 1598968380
Pac Id 5890951636
Professional Enrollment Id I20130715000335
Last Name ALT
First Name JEREMIAH
Middle Name ANDREW
Suffix
Gender M
Credential
Medical School Name WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year 2003
Primary Specialty OTOLARYNGOLOGY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name UNIVERSITY OF UTAH ADULT SERVICES
Group Practice Pac Id 0941525273
Number Of Group Practice Members 1231
Line 1 Street Address 50 N MEDICAL DR
Line 2 Street Address
Marker Of Address Line 2 Suppression
City SALT LAKE CITY
State UT
Zip Code 841320100
Phone Number 8015814333
Hospital Affiliation Ccn 1 460009
Hospital Affiliation Lbn 1 UNIVERSITY OF UTAH HOSPITALS AND CLINICS
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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