Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207PE0004X | Emergency Medical Services | 273900-1205 | UT |
NPI | 1033120779 |
---|---|
Provider Name | Eddie C Iorg |
First Address | Salt Lake City, UT 84130-0180 |
Second Address | Sandy, UT 84094-3762 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/08/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G00824 | (02) | UT |