Full Name | |
---|---|
Speciality | Family Medicine |
Location | 9450 S 1300 E, Sandy, Utah |
Authorized Official Name and Position | Mark Briesacher (CLINICAL INTEGRATION SVP) |
Authorized Official Contact | 8014423495 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Po Box 27128 Salt Lake City UT 84127-0128 Ph: (801) 442-1853 | 9450 S 1300 E Sandy UT 84094-5555 Ph: (801) 442-1853 |
NPI Number | 1497284681 |
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Provider Enumeration Date | 06/09/2017 |
Last Update Date | 06/09/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1497284681 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Vernon K. Liu Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 880 E 9400 S, Suite 102, Sandy, UT 84094 Phone: 801-576-1118 Fax: 801-576-1221 | |
Utah Gastroenterology Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10150 S Petunia Way Ste B, Sandy, UT 84092 Phone: 801-619-9000 | |