Most Relevant Information
Provider Data
| NPI Number: | 1003304122 |
| Provider Name: | BENJAMIN J. VERSEMAN MD |
| Entity Type: | Individual |
| Taxonomy Code: | 207P00000X |
| Specialty: | Emergency Medicine |
| License Number: | 12439739-1205 |
Most Important Dates
| Enumeration Date: | 04/24/2018 |
| Last Updated: | 08/23/2023 |
Provider Practice Location
30 N 1900 E # 1C026
SALT LAKE CITY
UT
841320002
Practice Location Phone/Fax
| Phone: | 8015812417 |
| Fax: |
Provider Mailing Location
30 N 1900 E # 1C026
SALT LAKE CITY
UT
841320002
Provider Mailing Phone/Fax
| Phone: | 8015812417 |
| Fax: |