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1434 E 9400 S Ste 100 Sandy UT 84093-2909 | |
(385) 463-2757 | |
(385) 488-0693 |
Full Name | |
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Speciality | Pediatrics |
Location | 1434 E 9400 S Ste 100, Sandy, Utah |
Authorized Official Name and Position | Dallin Hubbard (PRESIDENT) |
Authorized Official Contact | 3854632757 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1434 E 9400 S Ste 100 Sandy UT 84093-2909 Ph: (385) 463-2757 | 1434 E 9400 S Ste 100 Sandy UT 84093-2909 Ph: (385) 463-2757 |
NPI Number | 1003678178 |
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Provider Enumeration Date | 01/25/2024 |
Last Update Date | 03/19/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1003678178 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
208000000X | Pediatrics | (* (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 | |