Layton Family Practice Llc | |
2950 N Church St Ste 200 Layton UT 84040-6590 | |
(801) 771-7700 | |
(801) 771-7799 |
Full Name | Layton Family Practice Llc |
---|---|
Speciality | Family Medicine |
Location | 2950 N Church St Ste 200, Layton, Utah |
Authorized Official Name and Position | William Tedrick Johnson (GROUP VP/AO) |
Authorized Official Contact | 6153723375 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Layton Family Practice Llc 2000 Health Park Dr Brentwood TN 37027-4525 Ph: (615) 373-7600 | Layton Family Practice Llc 2950 N Church St Ste 200 Layton UT 84040-6590 Ph: (801) 771-7700 |
NPI Number | 1538220306 |
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Provider Enumeration Date | 12/13/2006 |
Last Update Date | 10/30/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1538220306 | NPI | - | NPPES |
1538220306 | Medicaid | UT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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