| Intercare Llc | |
|
1317 E 750 N Orem UT 84097-5480 | |
| (801) 704-5027 | |
| (801) 367-7678 |
| Full Name | Intercare Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 1317 E 750 N, Orem, Utah |
| Authorized Official Name and Position | William Bunn (OWNER/PHYSICIAN) |
| Authorized Official Contact | 8017045027 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Intercare Llc 6694 W. Normandy Way Highland UT 84003 Ph: (801) 704-5027 | Intercare Llc 1317 E 750 N Orem UT 84097-5480 Ph: (801) 704-5027 |
| NPI Number | 1790077642 |
|---|---|
| Provider Enumeration Date | 05/11/2011 |
| Last Update Date | 08/12/2024 |
| Certification Date | 08/12/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790077642 | NPI | - | NPPES |
| DO195129 | Other | OR | OREGON MEDICAL LICESNSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 5756680-1204 (Utah) | Primary |
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