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5801 Fashion Blvd 175 Murray UT 84107-6159 | |
| (801) 442-1400 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 5801 Fashion Blvd, Murray, Utah |
| Authorized Official Name and Position | Linda Leckman (CEO) |
| Authorized Official Contact | 8014423974 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 27128 Salt Lake City UT 84127-0128 Ph: (801) 442-1400 | 5801 Fashion Blvd 175 Murray UT 84107-6159 Ph: (801) 442-1400 |
| NPI Number | 1821113887 |
|---|---|
| Provider Enumeration Date | 03/20/2007 |
| Last Update Date | 10/10/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821113887 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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