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10965 S State St Suite 100 Sandy UT 84070-4270 | |
(801) 571-0311 | |
(801) 571-1369 |
Full Name | |
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Speciality | Internal Medicine |
Location | 10965 S State St, Sandy, Utah |
Authorized Official Name and Position | Philip D Roberts (PARTNER) |
Authorized Official Contact | 8015710311 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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10965 S State St Suite 100 Sandy UT 84070-4270 Ph: (801) 571-0311 | 10965 S State St Suite 100 Sandy UT 84070-4270 Ph: (801) 571-0311 |
NPI Number | 1821193897 |
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Provider Enumeration Date | 09/14/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1821193897 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal 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 | |