| Maplewood Medical | |
|
6783 S Redwood Rd Suite 104 West Jordan UT 84084-5677 | |
| (801) 268-2929 | |
| (801) 268-0198 |
| Full Name | Maplewood Medical |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 6783 S Redwood Rd, West Jordan, Utah |
| Authorized Official Name and Position | Robert E Park (CEO) |
| Authorized Official Contact | 8012987330 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Maplewood Medical 6783 S Redwood Rd Ste 104 West Jordan UT 84084-5686 Ph: (801) 298-7330 | Maplewood Medical 6783 S Redwood Rd Suite 104 West Jordan UT 84084-5677 Ph: (801) 268-2929 |
| NPI Number | 1205187325 |
|---|---|
| Provider Enumeration Date | 09/28/2012 |
| Last Update Date | 02/27/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205187325 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (Utah) | Primary |
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