Provider Demographics
NPI:1649384843
Name:RASMUSSEN VORHEES PC
Entity Type:Organization
Organization Name:RASMUSSEN VORHEES PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:HUGH
Authorized Official - Middle Name:D
Authorized Official - Last Name:VOORHEES
Authorized Official - Suffix:
Authorized Official - Credentials:MD PC
Authorized Official - Phone:801-993-9527
Mailing Address - Street 1:1954 FORT UNION BLVD
Mailing Address - Street 2:107
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84121-6800
Mailing Address - Country:US
Mailing Address - Phone:801-993-9527
Mailing Address - Fax:801-733-5872
Practice Address - Street 1:4000 S 700 E
Practice Address - Street 2:9
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84107-2180
Practice Address - Country:US
Practice Address - Phone:801-993-9527
Practice Address - Fax:801-733-5618
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-18
Last Update Date:2008-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT156076-1205208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty