| Landmark Medical Of Utah, Pc | |
|
12921 S Vista Station Blvd Draper UT 84020-2376 | |
| (657) 400-5180 | |
| Not Available |
| Full Name | Landmark Medical Of Utah, Pc |
|---|---|
| Speciality | General Practice |
| Location | 12921 S Vista Station Blvd, Draper, Utah |
| Authorized Official Name and Position | Christopher Dennis (CHIEF MEDICAL OFFICER) |
| Authorized Official Contact | 6574005180 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Landmark Medical Of Utah, Pc 7755 Center Ave Ste 630 Huntington Beach CA 92647-9152 Ph: () - | Landmark Medical Of Utah, Pc 12921 S Vista Station Blvd Draper UT 84020-2376 Ph: (657) 400-5180 |
| NPI Number | 1295455236 |
|---|---|
| Provider Enumeration Date | 08/30/2022 |
| Last Update Date | 01/30/2024 |
| Medicare PECOS PAC ID | 9830567908 |
|---|---|
| Medicare Enrollment ID | O20221121001940 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295455236 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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