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9720 S 1300 E Ste E240 Sandy UT 84094-3795 | |
(801) 501-2025 | |
Not Available |
Full Name | |
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Speciality | Family Medicine - Geriatric Medicine |
Location | 9720 S 1300 E, Sandy, Utah |
Authorized Official Name and Position | Linda C Leckman (CEO INTERMOUNTAIN MEDICAL GROUP) |
Authorized Official Contact | 8014423974 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 27128 Salt Lake City UT 84127-0128 Ph: (801) 501-2025 | 9720 S 1300 E Ste E240 Sandy UT 84094-3795 Ph: (801) 501-2025 |
NPI Number | 1508145111 |
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Provider Enumeration Date | 08/12/2011 |
Last Update Date | 03/01/2012 |
Identifier | Type | State | Issuer |
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1508145111 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207QG0300X | Family Medicine - Geriatric Medicine | 6012011 (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 | |