Updike, Wanda S

Updike, Wanda S is an individual health care provider with primary practice located at 1060 E 100 S L10, Salt Lake City UT 84102. She recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as her primary health care specialty. Updike, Wanda S can be contacted via phone (801) 328-1260.

Contact Information

Primary practice address
1060 E 100 S L10 Salt Lake City UT 84102
Fax: (801) 350-4361
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 1738441205 Utah

Profile Details

NPI number 1518932664
LBN Legal business name Updike, Wanda S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2006
Last updated Feb 9th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518932664 NPPES
Utah MEDICAID 801401924005

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