| |
900 Round Valley Dr Ste 110 Park City UT 84060-7552 | |
(435) 333-3535 | |
Not Available |
Full Name | |
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Speciality | Internal Medicine - Sports Medicine |
Location | 900 Round Valley Dr Ste 110, Park City, Utah |
Authorized Official Name and Position | Jp Valin (CHIEF CLINICAL OFFICER) |
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 27128 Salt Lake City UT 84127-0128 Ph: (435) 658-6703 | 900 Round Valley Dr Ste 110 Park City UT 84060-7552 Ph: (435) 333-3535 |
NPI Number | 1548727290 |
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Provider Enumeration Date | 02/28/2019 |
Last Update Date | 01/31/2024 |
Identifier | Type | State | Issuer |
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1548727290 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RS0010X | Internal Medicine - Sports Medicine | (* (Not Available)) | Primary |
2083X0100X | Preventive Medicine - Occupational Medicine | (* (Not Available)) | Secondary |
Anodyne Of Park City Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1790 Sun Peak Dr Ste A102, Park City, UT 84098 Phone: 435-640-1353 Fax: 435-655-2984 | |
Jupiter Medical I Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1784 Uinta Way Unit E2, Park City, UT 84098 Phone: 435-604-0160 Fax: 435-731-8328 | |
Stat-md I Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1784 Uinta Way Unit E2, Park City, UT 84098 Phone: 435-604-0160 Fax: 435-731-8328 |