| Directmd, Llc | |
|
Salt Lake County Government Ctr 2001 South State Street, Ste S2400 Salt Lake City UT 84190-0001 | |
| (801) 870-8500 | |
| (801) 467-8393 |
| Full Name | Directmd, Llc |
|---|---|
| Speciality | Clinic/center |
| Location | Salt Lake County Government Ctr, Salt Lake City, Utah |
| Authorized Official Name and Position | Gary J Mackelprang (MANAGING PARTNER) |
| Authorized Official Contact | 8018708500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Directmd, Llc Po Box 671 Farmington UT 84025-0671 Ph: (801) 870-8500 | Directmd, Llc Salt Lake County Government Ctr 2001 South State Street, Ste S2400 Salt Lake City UT 84190-0001 Ph: (801) 870-8500 |
| NPI Number | 1578869954 |
|---|---|
| Provider Enumeration Date | 02/02/2011 |
| Last Update Date | 02/02/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578869954 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (Utah) | Primary |
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