Guardian Family Medicine | |
4612 N Independence Way Eagle Mountain UT 84005-6082 | |
(801) 404-9662 | |
Not Available |
Full Name | Guardian Family Medicine |
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Speciality | Clinic/center - Primary Care |
Location | 4612 N Independence Way, Eagle Mountain, Utah |
Authorized Official Name and Position | Shad Tillotson (CEO/OWNER) |
Authorized Official Contact | 8014049662 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Guardian Family Medicine 4612 N Independence Way Eagle Mountain UT 84005-6082 Ph: (801) 404-9662 | Guardian Family Medicine 4612 N Independence Way Eagle Mountain UT 84005-6082 Ph: (801) 404-9662 |
NPI Number | 1164903233 |
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Provider Enumeration Date | 08/27/2018 |
Last Update Date | 08/27/2018 |
Identifier | Type | State | Issuer |
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1164903233 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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