Full Name | |
---|---|
Speciality | Clinic/center - Multi-specialty |
Location | 9660 S 1300 E, Sandy, Utah |
Authorized Official Name and Position | Denis Smith (CFO) |
Authorized Official Contact | 8014422000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Po Box 30180 Salt Lake City UT 84130-0180 Ph: () - | 9660 S 1300 E Sandy UT 84094-3762 Ph: (801) 501-2600 |
NPI Number | 1669498069 |
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Provider Enumeration Date | 07/15/2006 |
Last Update Date | 11/16/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1669498069 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | 2005-HOSP-162 (Utah) | 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 | |