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9844 S 1300 E #200 Sandy UT 84094-4673 | |
(801) 572-1472 | |
Not Available |
Full Name | |
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Speciality | Internal Medicine |
Location | 9844 S 1300 E, Sandy, Utah |
Authorized Official Name and Position | Mark Briesacher (SVP-CHIEF PHY EXECUTIVE) |
Authorized Official Contact | 8014423495 |
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) 572-1472 | 9844 S 1300 E #200 Sandy UT 84094-4673 Ph: (801) 572-1472 |
NPI Number | 1578697470 |
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Provider Enumeration Date | 03/15/2007 |
Last Update Date | 01/07/2021 |
Identifier | Type | State | Issuer |
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1578697470 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | 55887 (Utah) | Primary |
Vernon K. Liu Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 880 E 9400 S, Suite 102, Sandy, UT 84094 Phone: 801-576-1118 Fax: 801-576-1221 | |
Utah Gastroenterology Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10150 S Petunia Way Ste B, Sandy, UT 84092 Phone: 801-619-9000 | |