| The Performing, Endurance, And Artistic Athlete Clinic, Pllc | |
|
2870 E 3300 S Millcreek UT 84109-2821 | |
| (385) 500-3300 | |
| Not Available |
| Full Name | The Performing, Endurance, And Artistic Athlete Clinic, Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 2870 E 3300 S, Millcreek, Utah |
| Authorized Official Name and Position | Sara Elizabeth Walker (OWNER/PHYSICIAN) |
| Authorized Official Contact | 8107728179 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Performing, Endurance, And Artistic Athlete Clinic, Pllc 2870 E 3300 S Millcreek UT 84109-2821 Ph: (385) 500-3300 | The Performing, Endurance, And Artistic Athlete Clinic, Pllc 2870 E 3300 S Millcreek UT 84109-2821 Ph: (385) 500-3300 |
| NPI Number | 1043919889 |
|---|---|
| Provider Enumeration Date | 03/01/2023 |
| Last Update Date | 03/01/2023 |
| Certification Date | 03/01/2023 |
| Medicare PECOS PAC ID | 5193267078 |
|---|---|
| Medicare Enrollment ID | O20240606002408 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043919889 | NPI | - | NPPES |
| Provider Name | Sara E. Walker |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1871090555 PECOS PAC ID: 2264865062 Enrollment ID: I20240606002501 |
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