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5121 S Cottonwood St Murray UT 84107-5701 | |
(801) 507-7000 | |
Not Available |
Full Name | |
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Speciality | Clinic/center - Multi-specialty |
Location | 5121 S Cottonwood St, Murray, Utah |
Authorized Official Name and Position | Denis Smith (CFO) |
Authorized Official Contact | 8014422000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 30180 Salt Lake City UT 84130-0180 Ph: () - | 5121 S Cottonwood St Murray UT 84107-5701 Ph: (801) 507-7000 |
NPI Number | 1629094008 |
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Provider Enumeration Date | 07/15/2006 |
Last Update Date | 11/16/2022 |
Identifier | Type | State | Issuer |
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1629094008 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM1300X | Clinic/center - Multi-specialty | 2005-HOSP-188 (Utah) | Primary |
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