| |
1920 W 250 N Ste 1 Marriott Slaterville UT 84404-9234 | |
(801) 878-7411 | |
Not Available |
Full Name | |
---|---|
Speciality | Family Medicine |
Location | 1920 W 250 N Ste 1, Marriott Slaterville, Utah |
Authorized Official Name and Position | Amanda Wilkinson (BUSINESS OPERATIONS MANAGER) |
Authorized Official Contact | 7028180446 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
1920 W 250 N Ste 1 Marriott Slaterville UT 84404-9234 Ph: () - | 1920 W 250 N Ste 1 Marriott Slaterville UT 84404-9234 Ph: (801) 878-7411 |
NPI Number | 1376257386 |
---|---|
Provider Enumeration Date | 01/13/2023 |
Last Update Date | 11/20/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1376257386 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |