Provider Demographics
NPI:1467671008
Name:SALT LAKE VASCULAR ASSOCIATES, PC
Entity Type:Organization
Organization Name:SALT LAKE VASCULAR ASSOCIATES, PC
Other - Org Name:STEVEN C. SIMPER, M.D.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:DR
Authorized Official - First Name:JOANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:ERZINGER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:801-268-3800
Mailing Address - Street 1:1521 E 3900 S STE 100
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84124-1550
Mailing Address - Country:US
Mailing Address - Phone:801-268-3800
Mailing Address - Fax:801-268-3997
Practice Address - Street 1:1521 E 3900 S STE 100
Practice Address - Street 2:
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84124-1550
Practice Address - Country:US
Practice Address - Phone:801-268-3800
Practice Address - Fax:801-268-3997
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-24
Last Update Date:2024-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT177131-1205174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty