Benita Medical Llc | |
3465 Pioneer Pkwy Ste 2 West Valley City UT 84120-2076 | |
(801) 963-7636 | |
(801) 963-8130 |
Full Name | Benita Medical Llc |
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Speciality | Family Medicine |
Location | 3465 Pioneer Pkwy, West Valley City, Utah |
Authorized Official Name and Position | Ray Morris (OWNER) |
Authorized Official Contact | 8019737636 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Benita Medical Llc 3465 S 4155 W Ste 2 West Valley City UT 84120 Ph: (801) 963-7636 | Benita Medical Llc 3465 Pioneer Pkwy Ste 2 West Valley City UT 84120-2076 Ph: (801) 963-7636 |
NPI Number | 1326263773 |
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Provider Enumeration Date | 04/13/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1326263773 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 932651751205 (Utah) | Primary |
Vamos Health Ut Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3725 W 4100 S Ste 107, West Valley City, UT 84120 Phone: 502-333-2281 | |
Healing Center Of Utah Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2630 W 3500 S Ste B, West Valley City, UT 84119 Phone: 801-955-8888 Fax: 801-955-8889 |