Lone Peak Primary Care Llc | |
10011 Centennial Pkwy Suite 150 Sandy UT 84070-4156 | |
(801) 545-8480 | |
(801) 545-8495 |
Full Name | Lone Peak Primary Care Llc |
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Speciality | Internal Medicine |
Location | 10011 Centennial Pkwy, Sandy, Utah |
Authorized Official Name and Position | David J Kane (VP) |
Authorized Official Contact | 8015685999 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Lone Peak Primary Care Llc 10011 Centennial Pkwy Suite 150 Sandy UT 84070-4156 Ph: (801) 545-8480 | Lone Peak Primary Care Llc 10011 Centennial Pkwy Suite 150 Sandy UT 84070-4156 Ph: (801) 545-8480 |
NPI Number | 1447360383 |
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Provider Enumeration Date | 08/30/2006 |
Last Update Date | 03/24/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1447360383 | NPI | - | NPPES |
1447360383 | Medicaid | UT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | 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 | |