| Austin Med Group Inc | |
|
515 S 700 E Salt Lake City UT 84102-2801 | |
| (801) 343-1220 | |
| Not Available |
| Full Name | Austin Med Group Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 515 S 700 E, Salt Lake City, Utah |
| Authorized Official Name and Position | Adam Bolaft (CEO) |
| Authorized Official Contact | 3854144720 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Austin Med Group Inc 515 S 700 E Salt Lake City UT 84102-2801 Ph: (801) 343-1220 | Austin Med Group Inc 515 S 700 E Salt Lake City UT 84102-2801 Ph: (801) 343-1220 |
| NPI Number | 1285981852 |
|---|---|
| Provider Enumeration Date | 08/13/2012 |
| Last Update Date | 09/18/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285981852 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 4859745-1265 (Utah) | Primary |
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