| 3 Form - West Valley City | |
|
2300 S 2300 W Ste B West Valley City UT 84119-2022 | |
| (801) 975-7505 | |
| Not Available |
| Full Name | 3 Form - West Valley City |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 2300 S 2300 W Ste B, West Valley City, Utah |
| Authorized Official Name and Position | Jon Leizman (PRESIDENT) |
| Authorized Official Contact | 2164799063 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 3 Form - West Valley City 5500 Maryland Way Brentwood TN 37027-7048 Ph: () - | 3 Form - West Valley City 2300 S 2300 W Ste B West Valley City UT 84119-2022 Ph: (801) 975-7505 |
| NPI Number | 1093488926 |
|---|---|
| Provider Enumeration Date | 07/27/2021 |
| Last Update Date | 08/24/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093488926 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | 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 | |
Molina Medical Group Of Southern California Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2196 West 3500 South, Suite C1, West Valley City, UT 84119 Phone: 562-499-6191 Fax: 562-499-6171 | |
Granite Wellness Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4163 S 3200 W, West Valley City, UT 84119 Phone: 801-964-9355 Fax: 801-967-2692 | |
Gastroenterology West Valley Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3336 S 4155 W, Ste 306, West Valley City, UT 84120 Phone: 901-964-3855 Fax: 801-208-6367 | |
West Valley Specialty Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5373 W Lake Park Blvd, West Valley City, UT 84127 Phone: 801-442-1853 | |
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 |