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2720 Homestead Rd Ste 100 Park City UT 84098-4881 | |
(801) 507-3500 | |
Not Available |
Full Name | |
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Speciality | Clinic/center - Multi-specialty |
Location | 2720 Homestead Rd, Park City, Utah |
Authorized Official Name and Position | Kelly J Howard (DIRECTOR) |
Authorized Official Contact | 8014421425 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 27128 Salt Lake City UT 84127-0128 Ph: (801) 507-3533 | 2720 Homestead Rd Ste 100 Park City UT 84098-4881 Ph: (801) 507-3500 |
NPI Number | 1063646917 |
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Provider Enumeration Date | 05/06/2009 |
Last Update Date | 05/06/2009 |
Identifier | Type | State | Issuer |
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1063646917 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Anodyne Of Park City Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1790 Sun Peak Dr Ste A102, Park City, UT 84098 Phone: 435-640-1353 Fax: 435-655-2984 | |
Jupiter Medical I Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1784 Uinta Way Unit E2, Park City, UT 84098 Phone: 435-604-0160 Fax: 435-731-8328 | |
Stat-md I Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1784 Uinta Way Unit E2, Park City, UT 84098 Phone: 435-604-0160 Fax: 435-731-8328 |