Full Name | |
---|---|
Speciality | Clinic/center - Primary Care |
Location | 1937 W 5700 S, Roy, Utah |
Authorized Official Name and Position | David Owens (CEO) |
Authorized Official Contact | 8016214600 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 241 Roy UT 84067-0241 Ph: (801) 621-4600 | 1937 W 5700 S Roy UT 84067-2303 Ph: (801) 773-9380 |
NPI Number | 1710031760 |
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Provider Enumeration Date | 01/23/2007 |
Last Update Date | 12/13/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1710031760 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Family Tree Preventative Medicine Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5185 S 2275 W, Roy, UT 84067 Phone: 801-698-2144 | |