| Integrated Wellcare, Llc. | |
|
5168 Crus Corvi Rd West Jordan UT 84081-5336 | |
| (801) 358-7567 | |
| Not Available |
| Full Name | Integrated Wellcare, Llc. |
|---|---|
| Speciality | General Practice |
| Location | 5168 Crus Corvi Rd, West Jordan, Utah |
| Authorized Official Name and Position | Jamison Sivulich (MANAGING MEMBER) |
| Authorized Official Contact | 8013587567 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrated Wellcare, Llc. 5168 Crus Corvi Rd West Jordan UT 84081-5336 Ph: (801) 358-7567 | Integrated Wellcare, Llc. 5168 Crus Corvi Rd West Jordan UT 84081-5336 Ph: (801) 358-7567 |
| NPI Number | 1982928545 |
|---|---|
| Provider Enumeration Date | 03/25/2010 |
| Last Update Date | 03/25/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982928545 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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