| Neighborhood Clinic-sorenson Center | |
|
855 California Ave Salt Lake City UT 84104-1632 | |
| (801) 977-0502 | |
| Not Available |
| Full Name | Neighborhood Clinic-sorenson Center |
|---|---|
| Speciality | Family Medicine |
| Location | 855 California Ave, Salt Lake City, Utah |
| Authorized Official Name and Position | Linda C Leckman (CEO INTERMOUNTAIN MEDICAL GROUP) |
| Authorized Official Contact | 8014423974 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Neighborhood Clinic-sorenson Center Po Box 27128 Salt Lake City UT 84127-0128 Ph: (801) 977-0502 | Neighborhood Clinic-sorenson Center 855 California Ave Salt Lake City UT 84104-1632 Ph: (801) 977-0502 |
| NPI Number | 1922367721 |
|---|---|
| Provider Enumeration Date | 05/14/2012 |
| Last Update Date | 05/14/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922367721 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 4552012 (Utah) | Primary |
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